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弗氏柠檬酸杆菌所致的胆囊切除术后延迟性胆囊窝脓肿

Delayed Post-cholecystectomy Gallbladder Fossa Abscess Due to Citrobacter freundii.

作者信息

Malhotra Simran, Lara-Reyna Jacques, Harvey Eugenius J, Yu Allen T

机构信息

Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, USA.

Department of Neurosurgery, University of Illinois College of Medicine Peoria, Peoria, USA.

出版信息

Cureus. 2023 Apr 5;15(4):e37169. doi: 10.7759/cureus.37169. eCollection 2023 Apr.

Abstract

While laparoscopic cholecystectomy has become the treatment of choice for cholecystitis, complications such as abscess development can result even years after the intervention. We present a case of a patient with a remote history of laparoscopic cholecystectomy now diagnosed with gallbladder fossa abscess infected with , a low-virulence pathogen typically seen in iatrogenic urinary tract infections. Subsequent conjoint percutaneous drainage and long-term antibiotics resulted in both clinical and radiological improvement for the patient. Therefore, in the absence of recent events or risk factors for developing an abdominal wall abscess, a previous remote history of surgical intervention needs to be considered for the possible etiology, especially those with low incidences and long latency periods such as .

摘要

虽然腹腔镜胆囊切除术已成为胆囊炎的首选治疗方法,但诸如脓肿形成等并发症甚至可能在干预数年之后出现。我们报告一例有腹腔镜胆囊切除术既往史的患者,现被诊断为胆囊窝脓肿,感染的是一种低毒力病原体,常见于医源性尿路感染。随后联合经皮引流和长期使用抗生素使患者在临床和影像学方面均有改善。因此,在没有近期事件或发生腹壁脓肿的危险因素时,对于可能的病因需要考虑既往远期手术干预史,尤其是对于那些发病率低且潜伏期长的情况,如[此处原文缺失具体病原体名称]。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4688/10162692/a6b50341c3a8/cureus-0015-00000037169-i01.jpg

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