Toro A, Mannino M, Di Carlo I
Department of Surgical Sciences, Organ Transplantation, and Advanced Technologies, Cannizzaro Hospital, University of Catania, Italy.
Chirurgia (Bucur). 2013 Mar-Apr;108(2):277-9.
Thigh infection is a rare complication of intra-abdominal sepsis that can present with emphysema. We report a case of infection in the thigh resulting from colonic perforation. A 61-year-old woman with cirrhosis, grade Child B6 and diabetes treated with oral hypoglycemic drugs was referred to the emergency department because of a persistent pain in her left thigh and also for some abdominal discomforts during the preceding few days. Ultrasonography identified the presence of gas and fluid in the thigh. The patient received fluids and antibiotics but on the day after she reported an increase in pain. For this reason the patient was submitted to a CT scan that showed a thigh emphysema due to intestinal perforation. The patient was submitted to laparotomy. A Hartmann's procedure was performed, with resection of about 15 cm of affected sigmoid colon. The left thigh wound did not require any treatment.
大腿感染是腹腔内脓毒症的一种罕见并发症，可表现为气肿。我们报告一例因结肠穿孔导致的大腿感染病例。一名61岁患有肝硬化（Child B6级）且使用口服降糖药治疗糖尿病的女性，因左大腿持续疼痛以及前几日出现的一些腹部不适被转诊至急诊科。超声检查发现大腿内存在气体和液体。患者接受了补液和抗生素治疗，但在报告病情后的第二天疼痛加剧。因此，患者接受了CT扫描，结果显示因肠穿孔导致大腿气肿。患者接受了剖腹手术。实施了哈特曼手术，切除了约15厘米受影响的乙状结肠。左大腿伤口无需任何治疗。
