Anderson B B, Tuckson W B
J Natl Med Assoc. 1988 Aug;80(8):931-3.
A 32-year-old woman presented with sepsis nine days after a transrectal incision and drainage of a recurrent supralevator abscess. The findings included a large mass arising from the pelvis containing multiple, leaking, and infected endometrial cysts. After a supracervical hysterectomy, bilateral salpingo-oophorectomy, sigmoid loop colostomy, appendectomy, and extensive irrigation and debridement, her condition improved with no recurrence at two-year follow-up. This case illustrates the varied presentations of endometriosis, the importance of identifying the source of a perirectal or perianal abscess, and that when a supralevator abscess develops from an intraabdominal process, the process must be addressed to prevent recurrence, fistulization, or other complications.
一名32岁女性在经直肠切开引流复发性肛提肌上脓肿九天后出现败血症。检查发现盆腔有一个巨大肿块，内有多个渗漏且感染的子宫内膜囊肿。在进行了次全子宫切除术、双侧输卵管卵巢切除术、乙状结肠袢式造口术、阑尾切除术以及广泛冲洗和清创术后，她的病情有所改善，两年随访未复发。该病例说明了子宫内膜异位症的多种表现形式、识别直肠周围或肛周脓肿来源的重要性，以及当肛提肌上脓肿由腹腔内病变引起时，必须处理该病变以防止复发、形成瘘管或出现其他并发症。
