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脑脓肿和肝脓肿并存:急性憩室炎的一种罕见并发症。

Concomitant brain and liver abscesses: a rare complication of acute diverticulitis.

作者信息

Vial Izziddine, Varghese Timothy, Sheikh Adnan

机构信息

Department of General Surgery, East Lancashire NHS Trust, Blackburn, UK.

出版信息

J Surg Case Rep. 2022 Jun 28;2022(6):rjac297. doi: 10.1093/jscr/rjac297. eCollection 2022 Jun.

Abstract

Diverticular disease is one of the most common colonic pathologies in the Western world. In the UK, ~80% of the population aged over 85 years are diagnosed with it. Most of these cases are asymptomatic. Yet, they can become problematic when the diverticula bleed, become infected (diverticulitis) or perforate. Other well-known complications of diverticular disease are acute inflammation, stenosis, fistulation and abscess formation. In this case report, we describe a delayed presentation of metastatic abscesses (liver and brain) from a prior acute diverticulitis with contained perforation and abscess formation.

摘要

憩室病是西方世界最常见的结肠疾病之一。在英国,85岁以上的人群中约80%被诊断患有此病。这些病例大多无症状。然而,当憩室出血、感染(憩室炎)或穿孔时,就会出现问题。憩室病的其他常见并发症包括急性炎症、狭窄、瘘管形成和脓肿形成。在本病例报告中,我们描述了一例先前急性憩室炎伴局限性穿孔和脓肿形成后出现转移性脓肿(肝脏和脑部)的延迟表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97e/9238298/b4bdc7ac1a86/rjac297f1.jpg

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