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腹腔镜结肠手术后的严重蜂窝织炎和腹壁气肿:一例报告

Severe cellulitis and abdominal wall emphysema following laparoscopic colonic surgery: A case report.

作者信息

Tanaka Ryo, Kameyama Hitoshi, Chida Tadasu, Kanda Tatsuo, Kano Yosuke, Ichikawa Hiroshi, Hanyu Takaaki, Ishikawa Takashi, Kosugi Shin-Ichi, Wakai Toshifumi

机构信息

Division of Digestive Surgery, Sanjo General Hospital, Niigata, Japan.

出版信息

Asian J Endosc Surg. 2015 May;8(2):193-6. doi: 10.1111/ases.12159.

Abstract

Abdominal wall emphysema is a common complication of laparoscopic surgery. This condition is usually harmless; however, if an infection occurs, it can develop into a serious condition such as necrotizing fasciitis. We report a case of a 51-year-old woman suffering from severe cellulitis that spread from an area of abdominal wall emphysema after laparoscopic surgery for sigmoid colon cancer. Recognizing this complication, early diagnosis, and prompt treatment are cornerstones for successful management of this potentially fatal disease.

摘要

腹壁气肿是腹腔镜手术的常见并发症。这种情况通常无害;然而,如果发生感染,它可能发展成严重疾病,如坏死性筋膜炎。我们报告一例51岁女性病例,该患者在乙状结肠癌腹腔镜手术后,严重蜂窝织炎从腹壁气肿区域扩散。认识到这种并发症、早期诊断和及时治疗是成功处理这种潜在致命疾病的基石。

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