一名65岁全内脏转位男性患者出现阿米巴肝脓肿和气肿性胆囊炎的病例。
A case of amoebic liver abscess and emphysematous gallbladder in a 65-year-old male with situs inversus totalis.
作者信息
Issa Shadi, Alsaffaf Yousef, Sheikh Sobeh Ahmed, Hamsho Suaad, Ali Moulham
机构信息
General Surgery Department, Faculty of medicine, Damascus University, Damascus, Syria.
Faculty of Medicine, Hama University, Hama, Syria.
出版信息
Int J Surg Case Rep. 2024 Oct;123:110249. doi: 10.1016/j.ijscr.2024.110249. Epub 2024 Sep 8.
INTRODUCTION AND IMPORTANCE
Situs inversus totalis, a rare congenital condition, is characterized by the mirror-image reversal of the abdominal and thoracic organs. Amoebic liver abscess and emphysematous gallbladder are severe gastrointestinal infections. The coexistence of these three conditions is extremely rare.
CASE PRESENTATION
We present the case of a 65-year-old male who presented with abdominal pain, fever, and jaundice. Investigations revealed situs inversus totalis, amoebic liver abscess, and emphysematous gallbladder. The patient underwent successful treatment with antibiotics and open surgery drainage of the liver abscess, and subtotal cholecystectomy.
CLINICAL DISCUSSION
The co-occurrence of situs inversus totalis, amoebic liver abscess, and emphysematous gallbladder poses a diagnostic challenge and requires thorough evaluation and appropriate management.
CONCLUSION
Situs inversus totalis may coincide with other conditions like amebic abscess and emphysematous gallbladder, complicating diagnosis and treatment. Early diagnosis and prompt intervention are crucial to improve outcomes.
引言与重要性
全内脏转位是一种罕见的先天性疾病，其特征为腹部和胸部器官呈镜像反转。阿米巴肝脓肿和气肿性胆囊炎是严重的胃肠道感染。这三种情况同时存在极为罕见。
病例介绍
我们报告一例65岁男性患者，表现为腹痛、发热和黄疸。检查发现全内脏转位、阿米巴肝脓肿和气肿性胆囊炎。患者接受了抗生素治疗及肝脓肿切开引流术，并成功进行了胆囊次全切除术。
临床讨论
全内脏转位、阿米巴肝脓肿和气肿性胆囊炎同时出现带来了诊断挑战，需要进行全面评估和适当处理。
结论
全内脏转位可能与阿米巴脓肿和气肿性胆囊炎等其他疾病同时存在，使诊断和治疗复杂化。早期诊断和及时干预对于改善预后至关重要。
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