经皮取出导致肝脏与膈肌之间反复发生肝周脓肿的残留阑尾结石。
Percutaneous removal of a retained appendicolith causing recurrent perihepatic abscesses between the liver and diaphragm.
作者信息
Abdullah Hafez Mohammad Ammar, Atiq Muslim, Yeager Terry
机构信息
Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.
Department of Gastroenterology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.
出版信息
BMJ Case Rep. 2019 Jul 18;12(7):e230176. doi: 10.1136/bcr-2019-230176.
Many cases of appendicitis can be associated with appendicoliths. These may sometimes be lost during appendectomies and may be lodged in the body. Most of these cases lead to recurrent abscess formation, and these appendicoliths invariably need removal. Typically, this used to be done as an open surgery or laparoscopically. Here we describe the case of a transcutaneous removal of an appendicolith that was lodged between the liver and diaphragm that led to recurrent perihepatic abscess formation in a 24-year-old otherwise healthy man. The patient made a successful recovery without any recurrence. A transcutaneous approach to remove a retained appendicolith may be a feasible, a safe and an easy method to extract appendicoliths that are accessible for transcutaneous removal.
许多阑尾炎病例可能与阑尾结石有关。这些结石有时在阑尾切除术中会丢失，并可能留存于体内。大多数此类病例会导致复发性脓肿形成，这些阑尾结石总是需要取出。通常，这过去是通过开放手术或腹腔镜手术来完成的。在此，我们描述了一例经皮取出位于肝脏和膈肌之间的阑尾结石的病例，该结石导致一名24岁身体健康的男性反复发生肝周脓肿。患者成功康复且无任何复发。经皮取出残留阑尾结石的方法对于可经皮取出的阑尾结石而言，可能是一种可行、安全且简便的取出方法。
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