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一个复杂的病例:穿孔性憩室炎患者出现肺部空洞性病变、孤立性左心内膜炎和下腔静脉血栓形成

A confusing case: pulmonary lesions including cavities, isolated left heart endocarditis and inferior vena cava thrombosis in a patient with perforated diverticulitis.

出版信息

Rheumatol Int. 2013 Aug;33(8):2179-81. doi: 10.1007/s00296-012-2424-2. Epub 2012 Mar 28.

DOI:10.1007/s00296-012-2424-2
PMID:22453530
Abstract

There are numerous causes of pulmonary cavitary lesions as infection (bacterial, parasitic and invasive fungal), Wegener granulomatosis (WG) and other vasculitis, sarcoidosis, malignancy, septic thromboembolism, airways disease (cystic bronchiectasis and bullae), pneumatoceles and traumatic parenchymal laceration. Herein, we present a case with perforated diverticulitis causing pulmonary cavitary lesions and a septic thrombus in the neighboring inferior vena cava.

摘要

肺部空洞性病变的病因很多,包括感染(细菌、寄生虫和侵袭性真菌)、韦格纳肉芽肿(WG)和其他血管炎、结节病、恶性肿瘤、脓毒性血栓形成、气道疾病(囊性支气管扩张和大疱)、肺气囊和创伤性实质撕裂。在此,我们报告一例穿孔性憩室炎导致肺部空洞性病变和邻近下腔静脉内脓毒性血栓形成的病例。

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引用本文的文献

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Diverticulitis: a comprehensive review with usual and unusual complications.憩室炎:关于常见及罕见并发症的全面综述
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