Al Dallal Wessam, Jouni Hassan, Ahmed Mohamed Wael, Mohamedahmed Ali Yasen, Kakaniaris Georgios
General Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton on Trent, GBR.
General and Colorectal Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton on Trent, GBR.
Cureus. 2024 Jul 28;16(7):e65565. doi: 10.7759/cureus.65565. eCollection 2024 Jul.
Campylobacter is a common cause of bacterial gastroenteritis worldwide. This report presents a rare case of a 44-year-old female who developed a caecum perforation following an initial diagnosis of infection. The patient initially presented with several episodes of diarrhoea, vomiting, and abdominal pain. Initial investigations confirmed an uncomplicated infection, which was treated with antibiotics and supportive measures. Despite treatment, the patient's symptoms persisted and worsened, and caecum perforation was confirmed on the abdomen and pelvis computed tomography. The patient underwent an emergency right hemicolectomy with an end ileostomy and was discharged home on postoperative day 14 after she made a full recovery. Healthcare professionals should be vigilant for possible severe complications in patients with infection. Frequent abdominal examinations with radiological investigations should be considered when symptoms are worsening to promptly identify any potentially life-threatening complications similar to those in the presenting case.
弯曲杆菌是全球细菌性肠胃炎的常见病因。本报告介绍了一例罕见病例，一名44岁女性在最初诊断为感染后发生了盲肠穿孔。患者最初出现多次腹泻、呕吐和腹痛。初步检查确诊为无并发症的感染，采用抗生素和支持性措施进行治疗。尽管进行了治疗，患者的症状仍持续并加重，腹部和盆腔计算机断层扫描证实了盲肠穿孔。患者接受了急诊右半结肠切除术并进行了末端回肠造口术，术后第14天完全康复后出院。医疗保健专业人员应对感染患者可能出现的严重并发症保持警惕。当症状恶化时，应考虑频繁进行腹部检查并进行放射学检查，以便及时识别任何可能危及生命的并发症，如本病例所示。
