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儿童阑尾粪石脱落所致肝周脓肿

Perihepatic abscesses caused by dropped appendicoliths in a child.

作者信息

Singh Suprit C, Weber Fabiola, Meyers Arthur B, Reyes Cynthia, Epelman Monica

机构信息

University of Central Florida, College of Medicine, 6850 Lake Nona Blvd., Orlando, FL 32827, USA.

Department of Medical Imaging/Radiology, Nemours Children's Health System/Nemours Children's Hospital, 13535 Nemours Parkway, Orlando, FL 32827, USA.

出版信息

Radiol Case Rep. 2018 Oct 1;14(1):1-5. doi: 10.1016/j.radcr.2018.09.003. eCollection 2019 Jan.

DOI:10.1016/j.radcr.2018.09.003
PMID:30294402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6168925/
Abstract

A dropped appendicolith is a well-known complication of laparoscopic appendectomy that may occur because of stone expulsion from the appendix, before or during surgery, and typically manifests as a focal, subcentimeter area of high attenuation with or without associated abscess. Dropped appendicoliths may act as niduses for infection and may result in the future development of abscess formation. We report the case of a 10-year-old pediatric patient who developed 2 perihepatic abscesses caused by 2 appendicoliths that were inadvertently dropped during laparoscopic surgery.

摘要

阑尾结石脱落是腹腔镜阑尾切除术一种众所周知的并发症,可能由于结石在手术前或手术中从阑尾排出所致,通常表现为一个局灶性、直径小于1厘米的高衰减区域,可伴有或不伴有相关脓肿。脱落的阑尾结石可能成为感染病灶,并可能导致未来脓肿形成。我们报告一例10岁儿科患者的病例,该患者因腹腔镜手术中意外脱落的2枚阑尾结石而发生2处肝周脓肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0afa/6168925/da7e9f083d76/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0afa/6168925/9fcf6cd4140e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0afa/6168925/bf135446fe4e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0afa/6168925/4992bbc8bbd8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0afa/6168925/da7e9f083d76/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0afa/6168925/9fcf6cd4140e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0afa/6168925/bf135446fe4e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0afa/6168925/4992bbc8bbd8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0afa/6168925/da7e9f083d76/gr4.jpg

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2
Avoiding appendectomy with an ultrasound probe.经超声探头避免阑尾切除术。
Ann R Coll Surg Engl. 2022 Mar;104(3):e81-e83. doi: 10.1308/rcsann.2021.0122. Epub 2021 Nov 23.
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Delayed Presentation of a Retained Fecalith.粪石残留的延迟表现。

本文引用的文献

1
Liver Abscess Due to Dropped Appendicolith after Laparoscopic Appendectomy.腹腔镜阑尾切除术后阑尾粪石脱落致肝脓肿
J Belg Soc Radiol. 2015 Dec 30;99(2):47-49. doi: 10.5334/jbr-btr.935.
2
Laparoscopic appendectomy trends and outcomes in the United States: data from the Nationwide Inpatient Sample (NIS), 2004-2011.美国腹腔镜阑尾切除术的趋势与结果:来自2004 - 2011年全国住院患者样本(NIS)的数据
Am Surg. 2014 Oct;80(10):1074-7.
3
Perihepatic abscess secondary to retained appendicolith: A rare complication managed laparoscopically.阑尾结石残留继发肝周脓肿:一种通过腹腔镜治疗的罕见并发症。
Cureus. 2021 Jun 25;13(6):e15919. doi: 10.7759/cureus.15919. eCollection 2021 Jun.
J Surg Case Rep. 2011 Jan 1;2011(1):6. doi: 10.1093/jscr/2011.1.6.
4
Shortness of breath, fever and abdominal pain in a 21-year-old student.一名21岁学生出现呼吸急促、发热和腹痛症状。
BMJ Case Rep. 2013 Oct 14;2013:bcr2013200729. doi: 10.1136/bcr-2013-200729.
5
Laparoscopic appendectomy for perforated appendicitis in children has complication rates comparable with those of open appendectomy.腹腔镜阑尾切除术治疗小儿穿孔性阑尾炎的并发症发生率与开腹阑尾切除术相当。
J Pediatr Surg. 2013 Mar;48(3):555-61. doi: 10.1016/j.jpedsurg.2012.07.066.
6
Perihepatic abscess caused by dropped appendicoliths following laparoscopic appendectomy: sonographic findings.腹腔镜阑尾切除术后阑尾结石脱落导致肝周脓肿:超声表现
J Clin Ultrasound. 2013 Jul-Aug;41(6):366-9. doi: 10.1002/jcu.21940. Epub 2012 May 10.
7
A complication of a dropped appendicolith misdiagnosed as Crohn's disease.阑尾结石脱落误诊为克罗恩病的一种并发症。
Ann R Coll Surg Engl. 2011 Sep;93(6):e117-8. doi: 10.1308/147870811X591701.
8
Update on imaging for acute appendicitis.急性阑尾炎影像学进展。
Surg Clin North Am. 2011 Feb;91(1):141-54. doi: 10.1016/j.suc.2010.10.017.
9
Intra-abdominal spilled gallstones simulating peritoneal metastasis: CT and MR imaging features (2008: 1b).模拟腹膜转移的腹腔内溢出胆结石:CT和MR成像特征(2008年:1b)
Eur Radiol. 2008 Apr;18(4):851-4. doi: 10.1007/s00330-007-0703-1. Epub 2008 Mar 20.
10
Dropped appendicolith: CT findings and implications for management.阑尾结石脱落:CT表现及对治疗的意义
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