穿孔性胃潰ようによる腹膜炎術後に発症した孤立性ひ膿ようの１例

DOI Web Site 被引用文献1件 参考文献10件
  • 木山 輝郎
    日本医科大学大学院医学研究科臓器病態制御外科学
  • 田尻 孝
    日本医科大学大学院医学研究科臓器病態制御外科学
  • 吉行 俊郎
    日本医科大学大学院医学研究科臓器病態制御外科学
  • 谷合 信彦
    日本医科大学大学院医学研究科臓器病態制御外科学
  • 内田 英二
    日本医科大学大学院医学研究科臓器病態制御外科学
  • 徳永 昭
    日本医科大学大学院医学研究科臓器病態制御外科学

書誌事項

タイトル別名
  • A CASE OF A SOLITARY SPLENIC ABSCESS APPEARING AFTER AN OPERATION FOR A PERFORATED GASTRIC ULCER COMPLICATED WITH PERITONITIS

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The splenic abscess is a relatively rare entity. We report a case of a solitary splenic abscess following a perforated gastric ulcer complicated with peritonitis. A 54-year-old man was admitted to our hospital 2 weeks after his first complaint of abdominal pain. He underwent a wide resection of the stomach and drainage for peritonitis due to a perforated gastric ulcer. There was severe peritonitis and the preoperative computed tomography (CT) showed a tumor formation in the omentum. Microbiological examination of the ascites revealed contamination of the streptococcus group. On the first postoperative day he was free from fever and systemic intravenous administration of antibiotics was continued for 5 days. On the 14th postoperative day he complained of remittent fever and upper abdominal pain. Antibiotics administration was recommenced and CT imaging revealed a solitary splenic abscess. After 3 weeks antibiotics therapy, the blood chemistry showed no evidence of inflammation and CT imaging demonstrated the reduction of the splenic abscess. Because a splenic abscess can occur after the disappearance of previous infection, diagnostic imaging for a splenic abscess should be performed in patients who have successfully recovered from a previous inflammatory condition, but who subsequently complain of abdominal pain and remittent fever.

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