Rosato L
Divisione di Chirurgia, Ospedale di Ivrea.
Minerva Chir. 1994 Nov;49(11):1141-4.
The paper reviews past published work and evaluates various clinical aspects and surgical complications relating to the pathology of Yersinia enterocolitica, an increasingly frequent non-pathognomonic enteric infection in the western world. Despite this only ten instances have been documented of surgical complications arising from abscess and perforation of the intestinal wall requiring laparotomic intervention. It is concluded that, in any case of acute pathology of the right hand ileum cavity it would seem essential to undertake a more precise diagnosis so as to separate inflammatory or neoplastic pathologies of the intestine and mesentery from yersiniosis. This would allow more appropriate surgical and therapeutic treatment.
本文回顾了过去已发表的研究工作,并评估了与小肠结肠炎耶尔森菌病理学相关的各种临床情况及手术并发症,小肠结肠炎耶尔森菌在西方世界是一种日益常见的非特异性肠道感染。尽管如此,仅有10例因肠壁脓肿和穿孔导致需要开腹干预的手术并发症被记录在案。得出的结论是,在任何右下腹回肠腔急性病变的病例中,进行更精确的诊断似乎至关重要,以便将肠道和肠系膜的炎症性或肿瘤性病变与耶尔森菌病区分开来。这将有助于进行更恰当的手术和治疗。