Omental Abscess after Laparoscopic Proximal Gastrectomy Successfully Treated with Percutaneous Drainage.

IF 0.6 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Acta medica Okayama Pub Date : 2023-12-01 DOI:10.18926/AMO/66160
Atsunobu Sakurai, Mayu Uka, Toshihiro Iguchi, Koji Tomita, Yusuke Matsui, Yoshihiko Kakiuchi, Shinji Kuroda, Toshiyoshi Fujiwara, Takao Hiraki
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Abstract

We report the case details of a 65-year-old Japanese man with an omental abscess that was discovered 43 days after he underwent a laparoscopic proximal gastrectomy for gastric cancer. His chief complaint was mild abdominal pain that had persisted for several days. The abscess was diagnosed as a rare postoperative complication. We hesitated to perform a reoperation given the invasiveness of general anesthesia and surgery, plus the possibility of postoperative adhesions and because the patient's general condition was stable and he had only mild abdominal pain. Percutaneous drainage using a 10.2-F catheter was performed with the patient under conscious sedation and computed tomography-fluoroscopy guidance, with no complications. After the procedure, the size of the abscess cavity was remarkably reduced, and 23 days later the catheter was withdrawn.

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腹腔镜近端胃切除术后网膜脓肿经皮引流成功治愈
我们报告了一名 65 岁日本男子的详细病例,他在接受腹腔镜胃癌近端切除术 43 天后发现网膜脓肿。他的主诉是持续数天的轻微腹痛。脓肿被诊断为罕见的术后并发症。考虑到全身麻醉和手术的侵入性,以及术后粘连的可能性,我们犹豫是否要再次手术,因为患者的全身情况稳定,只有轻微腹痛。在有意识镇静和计算机断层扫描-荧光透视引导下,患者使用 10.2-F 导管进行了经皮引流,没有出现并发症。术后,脓腔明显缩小,23 天后拔出导管。
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来源期刊
Acta medica Okayama
Acta medica Okayama 医学-医学:研究与实验
CiteScore
1.00
自引率
0.00%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Acta Medica Okayama (AMO) publishes papers relating to all areas of basic and clinical medical science. Papers may be submitted by those not affiliated with Okayama University. Only original papers which have not been published or submitted elsewhere and timely review articles should be submitted. Original papers may be Full-length Articles or Short Communications. Case Reports are considered if they describe significant and substantial new findings. Preliminary observations are not accepted.
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