Division of Gastroenterology and Hepatology, Zagreb University Hospital Centre, Zagreb, Croatia.
Division of Abdominal Surgery, Zagreb University Hospital Centre, Zagreb, Croatia.
Balkan Med J. 2017 Sep 29;34(5):469-472. doi: 10.4274/balkanmedj.2016.1199. Epub 2017 Apr 13.
serovar Enteritidis is among the most reported serotypes of species worldwide, but is rarely reported as the causative agent of a liver abscess.
We present a patient with an abdominal blunt trauma. An initial abdominal computed tomography scan revealed a rupture of the right kidney and of the liver. Two days later, his physical state deteriorated and a new computed tomography scan was obtained. An extremely large 8-centimetre liver abscess was verified. Due to the unsatisfying response to antibiotic therapy and percutaneous drainage, we operated on the patient. An appendectomy, cholecystectomy and bisegmental liver resection were performed. An intraoperative swab from the abscess was positive for Salmonella enterica serovar Enteritidis. The patient was given intravenous ciprofloxacine. The post-operative course was complicated by a Coagulase-negative infection of the wound, which improved with antibiotic therapy.
Blunt abdominal trauma may initiate an unpredictable course of the disease in chronic carriers.
肠炎沙门氏菌是世界范围内报告最多的血清型之一，但很少有报道称其为肝脓肿的病原体。
我们报告了一名腹部钝器外伤患者。最初的腹部 CT 扫描显示右肾和肝脏破裂。两天后，他的身体状况恶化，再次进行 CT 扫描。证实有一个非常大的 8 厘米肝脓肿。由于抗生素治疗和经皮引流效果不佳，我们对患者进行了手术。进行了阑尾切除术、胆囊切除术和两段式肝切除术。脓肿的术中拭子检测出肠炎沙门氏菌肠炎亚种阳性。患者给予静脉注射环丙沙星。术后过程复杂，出现凝固酶阴性葡萄球菌伤口感染，经抗生素治疗后好转。
腹部钝器外伤可能会引发慢性携带者不可预测的疾病进程。
