General Surgery, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA
General Surgery, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA.
BMJ Case Rep. 2023 Dec 21;16(12):e256551. doi: 10.1136/bcr-2023-256551.
Empyema of the lung is an infection-induced collection of fluid in the chest cavity. is a bacterium that inhabits the intestine and is a rare cause of empyema after abdominal surgery. A slow phase of infection, associated with empyema, has previously been reported in cases of similar infections. Herein, we present a case of empyema following abdominal surgery. The empyema was initially managed using oxygen supplementation, fluid drainage and antibiotic therapy.This initial therapy failed in the present case because multiple collections of infected fluid prevented the lungs from expanding, requiring decortication, a pulmonary operation to remove the inflammatory tissue from the walls of the lung and associated with the infection, to allow the lung to expand. Following this operation, the patient recovered baseline levels of breathing and oxygen supplementation.
肺脓肿是一种感染引起的胸腔积液。为一种栖息在肠道中的细菌，是腹部手术后发生肺脓肿的罕见病因。先前有报道称，在类似感染病例中，存在与脓肿相关的感染缓慢期。在此，我们报告 1 例腹部手术后发生的脓肿。脓肿最初采用氧疗、引流和抗生素治疗进行治疗。本病例中，初始治疗失败，因为多处感染性积液妨碍了肺部扩张，需要行开胸术（一种切除肺部和感染相关的发炎组织的肺部手术），以允许肺部扩张。手术后，患者的呼吸和氧疗恢复至基线水平。
