含胃穿孔导致罕见的腹部皮下收集:1例报告。

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI:10.1093/jscr/rjaf272
Sahar Alshammery, Ahmed Alotaibi, Eyad Alwhoaibi
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引用次数: 0

摘要

包含胃穿孔是罕见的临床实体,其延伸到腹壁并皮下收集是一种非常罕见的表现。本文报告一例56岁男性患者,有糖尿病不受控制史,长期使用非甾体抗炎药,并吸烟,表现为腹痛和肿胀。影像学显示多室积液从胃溃疡穿孔处延伸至前腹壁,形成皮下脓肿。患者给予抗生素、抗真菌药物、床边切开引流、质子泵抑制剂等保守治疗。该病例强调了早期识别非典型胃穿孔的重要性,以及多学科治疗在获得良好结果中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Contained gastric perforation leading to a rare abdominal subcutaneous collection: a case report.

Contained gastric perforations are rare clinical entities, and their extension into the abdominal wall with subcutaneous collection is an exceptionally uncommon presentation. This report highlights the case of a 56-year-old male with a history of uncontrolled diabetes mellitus, chronic non-steroidal anti-inflammatory drugs use, and smoking, presenting with abdominal pain and swelling. Imaging revealed a multiloculated fluid collection extending from a perforated gastric ulcer into the anterior abdominal wall, forming a subcutaneous abscess. The patient was managed conservatively with antibiotics, antifungals, bedside incision and drainage, and proton pump inhibitors. This case underscores the importance of early recognition of atypical presentations of gastric perforation and the role of multidisciplinary management in achieving favorable outcomes.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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