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。