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双重打击：因胆源性脓毒症细菌移位导致感染性慢性血清肿的罕见病例。

Double Whammy: Rare Case of Infected Chronic Seroma Due to Bacterial Translocation From Biliary Sepsis.

作者信息

Ng Katrina, Teo Adrian

机构信息

General Surgery, Sir Charles Gairdner Hospital, Perth, AUS.

General Surgery, Armadale Health Service, Perth, AUS.

出版信息

Cureus. 2021 Oct 25;13(10):e19044. doi: 10.7759/cureus.19044. eCollection 2021 Oct.

DOI:10.7759/cureus.19044
PMID:34853759
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8608673/
Abstract

We present a case of infected chronic seroma post ventral hernia repair using the Rives-Stoppa technique likely from bacterial translocation from ascending cholangitis. After definitive treatment with endoscopic retrograde cholangiopancreatography (ERCP) and drainage of obstructed gallstones, she continued to show signs of sepsis. Percutaneous drainage of seroma was diagnostic for infection, where () was cultured and coupled with IV antibiotics, her infection was treated. To the best of our knowledge, this is the first case of seroma infection from biliary sepsis, and there are no cases of infected seroma from a secondary infection in the literature.

摘要

我们报告一例采用Rives-Stoppa技术修复腹侧疝后发生感染性慢性血清肿的病例，可能是由于胆管炎细菌移位所致。在内镜逆行胰胆管造影术（ERCP）进行确定性治疗并引流梗阻性胆结石后，她仍持续出现败血症迹象。血清肿的经皮引流诊断为感染，培养出（）并联合静脉使用抗生素后，她的感染得到了治疗。据我们所知，这是首例因胆源性败血症导致血清肿感染的病例，文献中尚无继发感染导致血清肿感染的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/fa3ef6acce81/cureus-0013-00000019044-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/f4ea4ba8d440/cureus-0013-00000019044-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/d93990f0f26a/cureus-0013-00000019044-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/c88f982a7644/cureus-0013-00000019044-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/61fcacd9fe08/cureus-0013-00000019044-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/db787d72a560/cureus-0013-00000019044-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/fa3ef6acce81/cureus-0013-00000019044-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/f4ea4ba8d440/cureus-0013-00000019044-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/d93990f0f26a/cureus-0013-00000019044-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/c88f982a7644/cureus-0013-00000019044-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/61fcacd9fe08/cureus-0013-00000019044-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/db787d72a560/cureus-0013-00000019044-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf8/8608673/fa3ef6acce81/cureus-0013-00000019044-i06.jpg

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Hernia. 2021 Apr;25(2):441-448. doi: 10.1007/s10029-020-02251-1. Epub 2020 Jun 18.
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Late-onset Deep Mesh Infection: A Study of Eight Cases Detected from 2666 Consecutive Patients with Abdominal Wall Hernia Repairs.迟发性深部网片感染：对2666例连续腹壁疝修补患者中检测出的8例病例的研究
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Predictors of mesh infection and explantation after abdominal wall hernia repair.
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Periprosthetic joint infection following Staphylococcus aureus bacteremia.金黄色葡萄球菌菌血症后假体关节感染。
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Serum analyses for protein, albumin and IL-1-RA serve as reliable predictors for seroma formation after incisional hernia repair.血清蛋白、白蛋白和白细胞介素 1 受体拮抗剂分析可作为切口疝修补术后血清肿形成的可靠预测指标。
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