Hamza Eman, Saeed Mirza Faraz, Salem Amro, Mazin Isam
Department of General Surgery, King Hamad University Hospital, Busaiteen, Bahrain.
BMJ Case Rep. 2017 Mar 22;2017:bcr2016218229. doi: 10.1136/bcr-2016-218229.
We describe a case which had ongoing sepsis, despite adequate incision and drainage performed for an ischorectal abscess. The patient was then noted to have an ascending infection reaching the extraperitoneal space of the abdominal cavity. The case reported required multiple episodes of drainage along with lower midline incision for deep-situated abscess. Postoperatively, the abdominal wound was treated with vacuum-assisted closure dressing and antibiotics. The patient was doing well and was discharged with an appointment at the surgical outpatient department. The report signifies the importance of investigating patients who have systemic inflammatory response syndrome despite treating local abscess.
我们描述了一例尽管对坐骨直肠窝脓肿进行了充分的切开引流，但仍存在持续性脓毒症的病例。随后发现该患者发生了上行性感染，累及腹腔的腹膜外间隙。所报告的病例需要多次进行引流，并沿腹下中线切开以处理深部脓肿。术后，腹部伤口采用负压封闭引流敷料和抗生素治疗。患者情况良好，出院时预约了外科门诊。该报告表明，对于尽管局部脓肿已得到治疗但仍出现全身炎症反应综合征的患者进行检查具有重要意义。
