一名青少年男性患急性髓细胞白血病并发胆囊积脓
Gallbladder empyema complicating acute myeloid leukaemia in an adolescent boy.
作者信息
Pant Gitika, Kumar Archana, Verma Nishant, Sharma Anil
机构信息
Department of Pediatrics, King George's Medical University, Lucknow, Uttar Pradesh, India.
Department of Pediatric hematoncology and BMT, Medanta The Medicity, Gurgaon, Haryana, India.
出版信息
BMJ Case Rep. 2018 Aug 14;2018:bcr-2018-224359. doi: 10.1136/bcr-2018-224359.
Gallbladder (GB) empyema is an uncommon complication in acute myeloid leukaemia (AML). Non-specific signs and symptoms and rarity of disease in AML make it difficult to diagnose early. We report a case of 13-year-old boy who had AML and developed GB empyema in the neutropaenic period. The patient was managed with antibiotics, ultrasound-guided tapping and interval cholecystectomy and recovered well. GB empyema is a life-threatening complication which should be kept as a possibility while evaluating patients with neutropaenia with pain abdomen localised to right hypochondrium as early diagnosis and treatment can lead to better outcomes.
胆囊积脓是急性髓系白血病（AML）中一种罕见的并发症。AML患者出现的非特异性体征和症状以及该疾病的罕见性使得早期诊断变得困难。我们报告一例13岁男孩，患有AML，在中性粒细胞减少期发生了胆囊积脓。该患者接受了抗生素治疗、超声引导下穿刺引流及择期胆囊切除术，恢复良好。胆囊积脓是一种危及生命的并发症，在评估患有中性粒细胞减少症且右上腹疼痛的患者时应考虑到这种可能性，因为早期诊断和治疗可带来更好的结果。
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