阑尾周围脓肿罕见并发症之胸腔积脓：病例报告及文献综述

Thoracic Empyema as Rare Complication of an Appendicular Mass: A Case Study and Review of the Literature.

作者信息

Vasquez-Rios George, Calixto-Aguilar Lesly, Pajuelo Richard, Alarcon Wilder

机构信息

Instituto de Medicina Tropical Alexander von Humbolt, Universidad Peruana Cayetano Heredia, Lima, Peru.

Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru.

出版信息

Case Rep Pediatr. 2018 May 15;2018:9640397. doi: 10.1155/2018/9640397. eCollection 2018.

DOI:10.1155/2018/9640397

PMID:29888019

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5977061/

Abstract

INTRODUCTION

Thoracic empyema is an infrequent complication of appendicitis that has rarely been reported in the literature.

CASE PRESENTATION AND REVIEW OF THE LITERATURE

The case of a 11-year-old boy who was admitted for medical management of an appendicular mass is presented. His clinical course was complicated by the development of an appendicular abscess and an extensive right-sided empyema. A comprehensive review of the literature was conducted including the most representative cases. The data were collected and analyzed by two independent investigators. Ten cases were found. Most patients were young individuals (mean age: 25.1 years; male : female ratio: 0.5). Risk factors for thoracic empyema included pregnancy (10%) and age (60%). The most frequent organisms isolated were spp., and spp. The survival rate was 100%.

CONCLUSION

Thoracic empyema should be considered a potential cause of respiratory distress in patients with appendicitis. Furthermore, the abdomen should be carefully evaluated as a source of infection in patients with thoracic empyema without an underlying lung disease.

摘要

引言

胸腔积脓是阑尾炎罕见的并发症，文献中鲜有报道。

病例介绍及文献综述

本文介绍了一名11岁男孩因阑尾包块入院接受药物治疗的病例。其临床病程因阑尾脓肿和广泛的右侧胸腔积脓而复杂化。对文献进行了全面综述，包括最具代表性的病例。数据由两名独立研究人员收集和分析。共发现10例病例。大多数患者为年轻人（平均年龄：25.1岁；男女比例：0.5）。胸腔积脓的危险因素包括妊娠（10%）和年龄（60%）。分离出的最常见病原体为菌属和菌属。生存率为100%。