Sekiguchi Naoto, Ikeuchi Manami, Tanimoto Naoki, Nabeshima Katsutoshi, Ogawa Hiroshi, Sawai Hiroaki, Kakuyama Saori, Osuga Tatsuya
Department of Gastroenterology, Aijinkai Takatsuki Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2024;121(7):598-604. doi: 10.11405/nisshoshi.121.598.
The patient, a 33-year-old female, presented to her local doctor with lower abdominal pain. She was referred to our hospital for a plain CT scan, which revealed signs of ileitis. Because acute appendicitis could not be ruled out, the patient was hospitalized. On the third day of hospitalization, she underwent laparoscopic appendicectomy for perforated appendicitis. However, the inflammatory response persisted despite continued antibacterial treatment; we diagnosed this to be due to the formation of a postoperative residual abscess. Since drainage of the abscess was deemed necessary, the patient underwent EUS-guided transrectal drainage on the 26th day of hospitalization. The patient had a favorable postoperative course and was discharged on the 31st day of hospitalization. Along with some literature review, this report details a case in which transrectal drainage under ultrasound endoscopy was effective in treating a pelvic abscess. We report a case of a pelvic abscess that was drained through the rectum under EUS guidance and an internal and external fistula tube was placed. The abscess resolved without complications.
患者为一名33岁女性，因下腹部疼痛前往当地医生处就诊。她被转诊至我院进行普通CT扫描，结果显示有回肠炎迹象。由于无法排除急性阑尾炎，患者住院治疗。住院第三天，她因穿孔性阑尾炎接受了腹腔镜阑尾切除术。然而，尽管继续进行抗菌治疗，炎症反应仍持续存在；我们诊断这是由于术后残留脓肿形成所致。由于认为有必要引流脓肿，患者在住院第26天接受了超声内镜引导下经直肠引流。患者术后恢复良好，于住院第31天出院。结合一些文献综述，本报告详细介绍了一例超声内镜下经直肠引流有效治疗盆腔脓肿的病例。我们报告一例盆腔脓肿在超声内镜引导下经直肠引流并置入内外瘘管的病例。脓肿消退，无并发症发生。
