副腎腫瘍摘除後,真菌性後腹膜膿瘍を合併した1例  [in Japanese] A CASE OF RETROPERITONEAL ABSCESS CAUSED BY FUNGUS AFTER LAPAROSCOPIC ADRENALECTOMY  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

今回,われわれはクッシング症候群に対する副腎摘除後に真菌性後腹膜膿瘍を合併した珍しい症例を経験したので報告する.症例は26歳の女性,腹腔鏡下左副腎摘除術後,発熱・白血球増多が持続,術後16日目に腹部CTにて後腹膜膿瘍が認められた. CTガイド下膿瘍ドレナ.ジを行い,カンジダ性膿瘍と診断, Fluconazoleの点滴静注と膿瘍腔への直接注入を行った. 3週目より解熱, 4週目にβ-D-グルカンも正常化,細菌培養でもCandidaは検出されなくなり,117日目にドレーンを抜去する事ができた.真菌性後腹膜膿瘍の治療は,適切なドレナージとともに,抗真菌剤の膿瘍腔への直接注入が副作用もなく有用であると考えられた.

We present a rare case of retroperitoneal abscess caused by fungus after an adrenalectomy. After a laparoscopic adrenalectomy to a 26-year-old woman with left adrenal adenoma, fever and leukocytosis lasted and a retroperitoneal abscess was pointed out by an abdominal CT scan. We performed a CT guided drainage. Subsequently Candida albicans was detected by a bacteriological examination of pus and serum β-D-glucan level was high. Direct injection of antifungal drug into the abscess cavity was started. High fever and increased β-D-glucan level became normalized in week 3 and 4, respectively. No Candida albicans was isolated from a culture and the drain was removed on 117 postoperative day. It is thought that appropriate drainage with direct injection of antifungal drug to abscess cavity may be an optimal therapy for fungal retroperitoneal abscess with minimal side effects.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62(4), 1059-1062, 2001-04-25

    Japan Surgical Association

References:  6

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008389874
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
Page Top