Welch J P
Am J Surg. 1976 Mar;131(3):270-4. doi: 10.1016/0002-9610(76)90114-8.
Perforating colorectal carcinomas may be complicated by abscess formation. If unchecked, the abscess may subsequently extend to a number of sites thus requiring emergency medical attention. The cases of five such patients treated at Massachusetts General Hospital are reported. Sepsis may spread in a short period of time over a considerable area in anatomic spaces such as the retroperitoneal space. Recognition of the source of abscess may be difficult. At times, the abscess may be accompanied by subcutaneous emphysema. Prompt diagnosis and elimination of the source of sepsis may be lifesaving.
穿孔性结直肠癌可能并发脓肿形成。如果不加以控制，脓肿随后可能蔓延至多个部位，因此需要紧急医疗救治。本文报告了在马萨诸塞州总医院接受治疗的5例此类患者的病例。脓毒症可能在短时间内在诸如腹膜后间隙等解剖间隙的相当大区域内扩散。识别脓肿的来源可能很困难。有时，脓肿可能伴有皮下气肿。及时诊断并消除脓毒症来源可能挽救生命。
