孤立性ひ膿ように対しエコーガイド下ドレナージが有効であった１例

DOI Web Site 被引用文献1件 参考文献13件

書誌事項

タイトル別名
  • Successful echo-guided drainage for solitary splenic abscess. A case report.

この論文をさがす

抄録

Splenic abscess is relatively uncommon, however, it has been increasingly diagnosed with an increase in the number of compromised hosts and with a widespreading use of more sophisticated medical imaging techniques. This paper presents a case of solitary abscess after operative ileus resolution in which echoguided needle drainage was effective. A 69-year-old man undergone a distal gastrectomy for early gastric cancer three months before was admitted to the hospital because of abdominal pain. He was diagnosed as having intestinal obstruction caused by adhesion. Conservative therapy was unsuccessful. A laparoscopic adhesiotomy was performed initially, but the small intestine was injured, therefore, we converted to an open laparotomy to perform lysis of the adhesion and a partial excision of the injured intestine. Fifteen days later he had a high fever. Computed tomography and ultrasonography demonstrated a cystic mass in the spleen. Under a diagnosis of splenic abscess, ech-oguided needle drainage was performed. Bacteroides fragilis was cultured in the pus. He recovered 28 days later. Percutaneous drainage for solitary splenic abscess is a safe and effective approach to conserve the spleen, that has a great value immunologically because immunosuppression after splenectomy for splenic abscess has been clarified.

収録刊行物

被引用文献 (1)*注記

もっと見る

参考文献 (13)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ