Watters D A, Moussa S A, Buyukpamukcu N
J Pediatr Surg. 1984 Apr;19(2):218-20. doi: 10.1016/s0022-3468(84)80460-1.
A case is reported in which an anastomotic leak following the Swenson procedure for Hirschsprung's disease was complicated by the development of a pelvic abscess that communicated freely with the epidural space. The child presented with signs and symptoms of an epidural abscess, but his myelogram was normal. The diagnosis was made by urografin enema. The child was treated by defunctioning colostomy and drainage of the pelvic abscess by enlarging the defect at the anastomosis site digitally. The epidural space drained freely to the pelvis and therefore laminectomy was not required. The possible etiology of such a communication is discussed.
本文报道了1例因先天性巨结肠行斯文森手术（Swenson procedure）后发生吻合口漏，并伴有盆腔脓肿形成，且该脓肿与硬膜外腔相通的病例。患儿表现出硬膜外脓肿的体征和症状，但其脊髓造影正常。通过泛影葡胺灌肠做出诊断。患儿接受了结肠造口减压术，并通过手指扩大吻合口处的缺损来引流盆腔脓肿。硬膜外腔可自由引流至盆腔，因此无需进行椎板切除术。文中讨论了这种相通情况可能的病因。
