Al Shehri Dafer M, Asiri Abdullah K, Abd El Maksoud Walid M
General Surgery, Aseer Central Hospital, Abha, Saudi Arabia.
Faculty of Medicine, King Khalid University, Abha, Saudi Arabia.
J Biomed Res. 2017 Sep 26;31(5):462-465. doi: 10.7555/JBR.31.20160159.
We describe a case of right ilio-psoas abscess caused by stump appendicitis 14 years after open appendectomy. Stump appendicitis is a rare complication of appendectomy. Right ilio-psoas abscess was diagnosed in an immune-competent patient and treated by ultrasound guided percutaneous drainage twice without identifying the cause of the abscess. The patient did not improve until diagnostic laparoscopy was performed revealing a long stump appendicitis to be the origin of infection. It was treated by completion appendectomy. Surgical exploration may be necessary in persistent or recurrent ilio-psoas abscesses. We identified 4 reported cases of post-appendectomy ilio-psoas abscess but without recognizing the cause of the abscess and its relation to appendectomy. This is the first reported case of ilio-psoas abscess that developed as a complication of stump appendicitis.
我们报告一例在开腹阑尾切除术后14年发生残端阑尾炎导致右髂腰肌脓肿的病例。残端阑尾炎是阑尾切除术后一种罕见的并发症。在一名免疫功能正常的患者中诊断出右髂腰肌脓肿，在未明确脓肿病因的情况下，通过超声引导下经皮引流进行了两次治疗。直到进行诊断性腹腔镜检查发现长残端阑尾炎是感染源，患者才有所好转。通过完成阑尾切除术进行了治疗。对于持续性或复发性髂腰肌脓肿，可能有必要进行手术探查。我们发现了4例阑尾切除术后髂腰肌脓肿的报告病例，但未认识到脓肿的病因及其与阑尾切除术的关系。这是首例报告的作为残端阑尾炎并发症而发生的髂腰肌脓肿病例。
