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复发性肛提肌上脓肿的成功治疗：病例报告

Successful management of a recurrent supralevator abscess: a case report.

作者信息

Sanyal S, Khan F, Ramachandra Prashanth

机构信息

Drexel University College of Medicine, Philadelphia, PA 19129, USA.

出版信息

Case Rep Surg. 2012;2012:871639. doi: 10.1155/2012/871639. Epub 2012 May 7.

DOI:10.1155/2012/871639
PMID:22649747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3357932/
Abstract

Anorectal abscesses are commonly encountered in clinical surgical practice. These abscesses require surgical management. Supralevator abscesses are thought to originate either from an ischiorectal or intersphincteric abscess extension or from an intraperitoneal source. These abscesses are quite uncommon and present a difficult surgical problem. We present a case here of a 42-year-old female with a recurrent supralevator abscess requiring multiple surgical procedures for adequate drainage and care of her abscess.

摘要

肛门直肠脓肿在临床外科实践中较为常见。这些脓肿需要手术治疗。肛提肌上脓肿被认为要么起源于坐骨直肠窝或括约肌间脓肿的蔓延，要么源于腹腔内的感染源。这些脓肿相当罕见，且带来了棘手的外科问题。我们在此呈现一例42岁女性复发性肛提肌上脓肿的病例，该患者需要多次手术以充分引流和处理其脓肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3112/3357932/6d5398a7487d/CRIM.SURGERY2012-871639.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3112/3357932/3d732582604b/CRIM.SURGERY2012-871639.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3112/3357932/0ca9c0e3cdc7/CRIM.SURGERY2012-871639.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3112/3357932/6d5398a7487d/CRIM.SURGERY2012-871639.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3112/3357932/3d732582604b/CRIM.SURGERY2012-871639.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3112/3357932/0ca9c0e3cdc7/CRIM.SURGERY2012-871639.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3112/3357932/6d5398a7487d/CRIM.SURGERY2012-871639.003.jpg

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The space between: a supralevator abscess caused by perforated diverticulitis.其间的间隙：由穿孔性憩室炎引起的膈上脓肿。

本文引用的文献

1
Perianal abscess in Crohn's disease.克罗恩病中的肛周脓肿
Dis Colon Rectum. 1997 Apr;40(4):443-50. doi: 10.1007/BF02258390.
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Supralevator anorectal abscess presenting as acute low back pain and sciatica.
Ann Emerg Med. 1994 Jan;23(1):132-5. doi: 10.1016/s0196-0644(94)70020-6.
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Supralevator abscess: diagnosis and treatment.肛提肌上脓肿：诊断与治疗
Dis Colon Rectum. 1981 Sep;24(6):456-61. doi: 10.1007/BF02626783.
J Surg Case Rep. 2013 Jun 26;2013(6):rjt041. doi: 10.1093/jscr/rjt041.