篇名 | 兒童腹腔鏡闌尾切除術後糞石導致肝膿瘍-案例報告 |
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卷期 | 29:2 |
並列篇名 | Liver abscess caused by retained appendicolith after laparoscopic appendectomy in a child: A case report |
作者 | 李勛華 、 林宗興 、 許宗鴻 、 阮祺文 |
頁次 | 133-140 |
關鍵字 | 破裂闌尾炎 、 闌尾糞石 、 肝膿瘍 、 ruptured appendicitis 、 appendicolith 、 liver abscess 、 TSCI |
出刊日期 | 202204 |
掉落或遺留的闌尾糞石是罕見的腹腔鏡闌尾切除術術後併發症,尤其在破裂闌尾炎更易發生。兒童是容易發生闌尾糞石的族群,而有闌尾糞石的兒童,更容易有破裂闌尾炎的風險。我們提出一個罕見案例,一位13歲女生,在一個月前接受腹腔鏡闌尾切除術,最後診斷闌尾糞石導致肝膿瘍。我們只進行經皮膿瘍引流和抗生素治療。此案例提醒我們應在未來某時段處理此闌尾糞石。
Dropped or retained appendicolith is a rare complication after laparoscopic appendectomy, especially in ruptured appendicitis. Children is a vulnerable population that contained higher incidence of appendicolith and higher risks of ruptured appendicitis which accompany with appendicolith. We proposed a rare case of 13-year-old female who accepted laparoscopic appendectomy one month ago, and liver abscess with retained appendicolith was diagnosed finally. We only arranged percutaneous abscess drainage and broad-spectrum antibiotics treatment and the recurrence of abscess formation may occur in the future. This case reminds us that we should manage the appendicolith with interval time in the future.