PDF(Pubmed)
Abstract：
BACKGROUND: Postoperative abdominal infections are an important and heterogeneous health challenge. Many samll abdominal abscesses are resolved with antibiotics, but larger or symptomatic abscesses may require procedural management.
METHODS: A 65-year-old male patient who suffered operation for the left hepatocellular carcinoma eight months ago, came to our hospital with recurrent abdominal pain, vomit, and fever for one month. Abdominal computed tomography showed that a big low-density dumbbell-shaped mass among the liver and intestine. Colonoscopy showed a submucosal mass with a fistula at colon of liver region. Gastroscopy showed a big rupture on the submucosal mass at the descending duodenum and a fistula at the duodenal bulb. Under colonoscopy, the brown liquid and pus were drained from the mass with \"special stent device\". Under gastroscopy, we closed the rupture of the mass with a loop and six clips for purse stitching at the descending duodenum, and the same method as colonoscopy was used to drain the brown liquid and pus from the mass. The symptom of abdominal pain, vomit and fever were relieved after the treatment.
CONCLUSIONS: The special stent device could be effectively for draining the abdominal abscess respectively from colon and duodenum.
METHODS: A 65-year-old male patient who suffered operation for the left hepatocellular carcinoma eight months ago, came to our hospital with recurrent abdominal pain, vomit, and fever for one month. Abdominal computed tomography showed that a big low-density dumbbell-shaped mass among the liver and intestine. Colonoscopy showed a submucosal mass with a fistula at colon of liver region. Gastroscopy showed a big rupture on the submucosal mass at the descending duodenum and a fistula at the duodenal bulb. Under colonoscopy, the brown liquid and pus were drained from the mass with \"special stent device\". Under gastroscopy, we closed the rupture of the mass with a loop and six clips for purse stitching at the descending duodenum, and the same method as colonoscopy was used to drain the brown liquid and pus from the mass. The symptom of abdominal pain, vomit and fever were relieved after the treatment.
CONCLUSIONS: The special stent device could be effectively for draining the abdominal abscess respectively from colon and duodenum.
摘要：
背景：术后腹腔感染是一项重要且异质性的健康挑战。许多腹部脓肿可以用抗生素解决，但较大或有症状的脓肿可能需要程序化管理.
方法：一名65岁男性患者，8个月前因左侧肝细胞癌接受手术，来我们医院反复腹痛,呕吐物,发烧一个月。腹部计算机断层扫描显示，肝脏和肠道之间有一个大的低密度哑铃状肿块。结肠镜检查显示粘膜下肿块，肝区结肠有瘘管。胃镜检查显示十二指肠降部粘膜下肿块大破裂，十二指肠球部瘘。在结肠镜检查下，用“特殊支架装置”从肿块中排出棕色液体和脓液。在胃镜下,我们用一个环和六个夹子闭合了肿块的破裂，用于在十二指肠降部缝合钱包，并使用与结肠镜检查相同的方法从肿块中排出棕色液体和脓液。腹痛的症状，治疗后呕吐和发烧缓解。
结论：特殊支架装置可有效地分别从结肠和十二指肠引流腹腔脓肿。
方法：一名65岁男性患者，8个月前因左侧肝细胞癌接受手术，来我们医院反复腹痛,呕吐物,发烧一个月。腹部计算机断层扫描显示，肝脏和肠道之间有一个大的低密度哑铃状肿块。结肠镜检查显示粘膜下肿块，肝区结肠有瘘管。胃镜检查显示十二指肠降部粘膜下肿块大破裂，十二指肠球部瘘。在结肠镜检查下，用“特殊支架装置”从肿块中排出棕色液体和脓液。在胃镜下,我们用一个环和六个夹子闭合了肿块的破裂，用于在十二指肠降部缝合钱包，并使用与结肠镜检查相同的方法从肿块中排出棕色液体和脓液。腹痛的症状，治疗后呕吐和发烧缓解。
结论：特殊支架装置可有效地分别从结肠和十二指肠引流腹腔脓肿。
