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肝脓肿作为腹腔镜阑尾切除术的罕见并发症:一例报告

Liver Abscess as an Uncommon Complication of Laparoscopic Appendectomy: A Case Report.

作者信息

Savage-Lobeck David, Pereira Nicholas, Saggi Robert

机构信息

Medicine, St. James School of Medicine, Chicago, USA.

Pediatrics, South Texas Health System Children's, Edinburg, USA.

出版信息

Cureus. 2024 Feb 22;16(2):e54713. doi: 10.7759/cureus.54713. eCollection 2024 Feb.

Abstract

Pyogenic liver abscess (PLA) is an infrequently seen complication of appendicitis that once was common, but now is so rare many textbooks omit the condition entirely. In this report, we document a recent case of post-appendicitis PLA in an eight-year-old Hispanic female treated with a combination of medical and surgical management. We have detailed the course of treatment, both to raise awareness of this uncommon complication of appendicitis and to help provide a guide for other clinicians treating similar cases. While cases of pediatric PLA post-appendicitis are rare in the modern world, timely diagnosis and treatment of the lesions are paramount to patient recovery and prevention of long-term sequelae. Study of prior literature and research is likely to be of vital importance to the treatment of the condition. Multiple treatment modalities may be considered, and there is no true standard of care for pediatric populations presenting with PLA.

摘要

化脓性肝脓肿(PLA)是阑尾炎一种不常见的并发症,曾经较为常见,但现在极为罕见,许多教科书甚至完全忽略了这种病症。在本报告中,我们记录了一例近期发生在一名8岁西班牙裔女性身上的阑尾炎后PLA病例,该病例采用了药物和手术联合治疗。我们详细阐述了治疗过程,旨在提高对阑尾炎这种罕见并发症的认识,并为其他治疗类似病例的临床医生提供指导。虽然现代社会中儿童阑尾炎后PLA病例很少见,但及时诊断和治疗这些病变对于患者康复以及预防长期后遗症至关重要。对既往文献和研究的探讨可能对该病症的治疗至关重要。可考虑多种治疗方式,对于患有PLA的儿童群体,目前尚无真正的标准治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a3f/10960657/280c9ec01c84/cureus-0016-00000054713-i01.jpg

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