開腹ドレナージ術にて救命した<I>Clostridium perfringens</I>による肝膿瘍破裂の1例

• 佐藤 直哉

  福島県立医科大学臓器再生外科学講座 米沢市立病院外科

• 北村 正敏

  米沢市立病院外科

• 菅野 博隆

  米沢市立病院外科

• 後藤 満一

  福島県立医科大学臓器再生外科学講座

書誌事項

タイトル別名

• Rupture of a gas-containing liver abscess due to <i>clostridium perfringens </i>treated by laparotomy drainage
• ショウレイ カイフク ドレナージジュツ ニテ キュウメイ シタ Clostridium perfringens ニ ヨル カン ノウヨウハレツ ノ 1レイ

抄録

A 75-year-old man was admitted to our hospital for acute onset of fever and upper abdominal pain. Abdominal computed tomography (CT) revealed the presence of intraperitoneal free air and a 3 cm gas-containing lesion in segment S6 of the liver. He was diagnosed with acute peritonitis due to a ruptured liver abscess, necessitating emergency drainage under laparotomy. Clostridium perfringens (C. perfringes) were detected in the ascites. The postoperative course of the patient was uneventful without recurrence of liver abscess. The patient was discharged from hospital on the 27^th day. Although gas-containing liver abscess caused by C. perfringens is rare, it is necessary to consider the possibility of infection by this organism in cases of gas-containing lesions in the liver, because the clinical course can be fulminant and fatal. This patient was saved because he was treated shortly after the occurrence, before the involvement of coexisting hemolysis.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 73 (8), 2014-2020, 2012

  日本臨床外科学会

キーワード

• 肝膿瘍破裂
• クロストリジウム
• 敗血症

詳細情報

• CRID: 1390001204852529920
• NII論文ID: 10031123756
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.73.2014
• ISSN: 18825133
• ISSN: 13452843
• NDL書誌ID: 030740882
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I030740882
• Web Site: https://www.jstage.jst.go.jp/article/jjsa/73/8/73_2014/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2012337034
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可