Thoracic Empyema as Rare Complication of an Appendicular Mass: A Case Study and Review of the Literature
Thoracic Empyema as Rare Complication of an Appendicular Mass: A Case Study and Review of the Literature
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DOI：
10.1155/2018/9640397
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发表时间：
2018-01-01
影响因子：
0.9
通讯作者：
Alarcon, Wilder
中科院分区：
文献类型：
--
作者：
Vasquez-Rios, George;Calixto-Aguilar, Lesly;Alarcon, Wilder
导言。胸腔脓胸是一种罕见的阑尾炎并发症，在文献中很少有报道。案例介绍和文献综述。本文报告一例11岁男童因阑尾肿块而入院治疗的病例。他的临床过程因发展为阑尾脓肿和广泛的右侧脓胸而变得复杂。对文献进行了全面审查，包括最具代表性的案例。这些数据是由两名独立调查人员收集和分析的。共发现10例。大多数患者为年轻人(平均年龄：25.1岁；男女比例：0.5)。胸腔积液的危险因素包括怀孕(10%)和年龄(60%)。最常见的病原菌为大肠埃希菌、类杆菌和克雷伯氏菌。成活率为100%。结论。胸腔脓胸应被认为是阑尾炎患者呼吸窘迫的一个潜在原因。此外，对于无肺部基础疾病的胸腔脓胸患者，应仔细评估腹部是否为感染源。
Introduction. Thoracic empyema is an infrequent complication of appendicitis that has rarely been reported in the literature. Case Presentation and Review of the Literature. The case of a 11-year-old boy who was admitted for medical management of an appendicular mass is presented. His clinical course was complicated by the development of an appendicular abscess and an extensive right-sided empyema. A comprehensive review of the literature was conducted including the most representative cases. The data were collected and analyzed by two independent investigators. Ten cases were found. Most patients were young individuals (mean age: 25.1 years; male : female ratio: 0.5). Risk factors for thoracic empyema included pregnancy (10%) and age (60%). The most frequent organisms isolated were Escherichia coli, Bacteroides spp., and Klebsiella spp. The survival rate was 100%. Conclusion. Thoracic empyema should be considered a potential cause of respiratory distress in patients with appendicitis. Furthermore, the abdomen should be carefully evaluated as a source of infection in patients with thoracic empyema without an underlying lung disease.