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作 者:Fu-Long Zhang Jing Xu Yu-Hong Jiang Yuan-Dong Zhu Qian-Neng Wu Yan Shi Zong-Yuan Zhan Hai Wang
机构地区:[1]Department of Gastroenterology,Hangzhou Xixi Hospital,Hangzhou 310023,Zhejiang Province,China [2]Department of Hepatopathy,Hangzhou Xixi Hospital,Hangzhou 310023,Zhejiang Province,China
出 处:《World Journal of Clinical Cases》2024年第19期3931-3935,共5页世界临床病例杂志
摘 要: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.CASE SUMMARY 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.CONCLUSION The special stent device could be effectively for draining the abdominal abscess respectively from colon and duodenum.
关 键 词:Abdominal abscess STENT Draining GASTROSCOPY COLONOSCOPY Case report
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