穿孔性虫垂炎後の遺残虫垂石による肝膿瘍:症例報告
Jad Kabbara1, Basel Diab2, Mohamad Mouchli3
1Anesthesiology, Lake Erie College of Osteopathic Medicine, Greensburg, USA.
Cureus
|December 15, 2025
まとめ
虫垂炎手術の断片である遺残虫垂石は、まれに重篤な腹腔内膿瘍または肝膿瘍を引き起こす可能性があります。敗血症などの重篤な合併症を防ぐためには、早期発見と除去が重要です。
科学分野:
- 消化器病学
- 外科病理学
- 放射線医学
背景:
- 腹腔内膿瘍は虫垂摘出術のまれな合併症である。
- 脱落した虫垂石による肝膿瘍は例外的にまれである。
研究 の 目的:
- 遺残虫垂石による肝下膿瘍のまれな症例を報告すること。
- 虫垂摘出後の遺残虫垂石の特定を重要視すること。
主な方法:
- 虫垂摘出術後の75歳男性の症例報告。
- 画像診断(CTスキャン)により、石灰化した虫垂石を伴う肝下膿瘍が明らかになった。
- 術後レビューにより、腹腔内への虫垂石の漏出が確認された。
主要な成果:
- 抗菌薬と経皮的ドレナージによる成功裏の治療。
- 遺残虫垂石が膿瘍の原因であると特定された。
結論:
- 脱落した虫垂石は、虫垂摘出術後の膿瘍のまれではあるが重要な原因である。
- 遺残断片を防ぐためには、徹底的な放射線学的および術中評価が不可欠である。
- 虫垂石の早期特定と除去は、重篤な合併症を防ぐことができる。
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