Żyluk Andrzej, Puchalski Piotr, Janowski Piotr
Pomeranian J Life Sci. 2016;62(1):85-8.
Retroperitoneal abscesses present a relatively uncommon complication of diseases of various abdominal organs, although most commonly they are related to acute appendicitis of retrocoecal location. The paper presents the case of a healthy patient in whom an excessive left retroperitoneal abscess developed, perforated into the peritoneal cavity, and almost perforated through the skin in XIIth intercostal space. The patient had no abdominal symptoms or signs, but complained from slight pain in the left lumbar area. The diagnosis was established based on abdominal computed tomography scanning and an operative treatment by laparotomy. The evacuation and drainage of the abscess was effective and the patient recovered. Bacteriological examination of the pus from the abdominal cavity revealed single colonies of anaerobic Fusobacterium species. The cause of the occurrence of the abscess remained unknown.
腹膜后脓肿是各种腹部器官疾病相对少见的并发症，尽管最常见的是与盲肠后位急性阑尾炎有关。本文介绍了一例健康患者的病例，该患者发生了巨大的左腹膜后脓肿，脓肿穿破进入腹腔，并几乎在第十二肋间间隙穿透皮肤。患者没有腹部症状或体征，但主诉左腰部有轻微疼痛。诊断基于腹部计算机断层扫描，并通过剖腹手术进行手术治疗。脓肿的引流有效，患者康复。对腹腔脓液的细菌学检查发现了厌氧梭杆菌属的单个菌落。脓肿发生的原因仍然不明。
