Messieh M, Turner R, Bunch F, Camer S
Department of Orthopedic Surgery, Tufts University School of Medicine, New England Baptist Hospital, Boston, Massachusetts.
Orthop Rev. 1993 May;22(5):597-9.
Retroperitoneal perforation of diverticular disease is very uncommon and can be difficult to diagnose because of possible pathways of communication between the retroperitoneal space and the thigh. An iliopsoas abscess from a ruptured diverticulum may drain into the hip joint if the capsule has been violated. Cases of abscesses or gas in the thigh have been reported in which thigh pain was the predominant symptom, overshadowing any abdominal signs. We report a case in which hip sepsis due to a ruptured diverticulum was the presenting feature.
憩室病的腹膜后穿孔非常罕见，由于腹膜后间隙与大腿之间可能存在的交通途径，诊断可能会很困难。如果憩室破裂形成的髂腰肌脓肿侵犯了关节囊，可能会流入髋关节。已有大腿出现脓肿或气体的病例报道，其中大腿疼痛是主要症状，掩盖了任何腹部体征。我们报告了一例以憩室破裂导致的髋关节感染为首发表现的病例。
