A Schloffer tumor treated 27 years after appendectomy.
A Schloffer tumor treated 27 years after appendectomy.
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Schloffer 肿瘤在阑尾切除术后 27 年接受治疗。
DOI：
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
Yuhei Tsuda
中科院分区：
文献类型：
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作者：
M. Ogawa;S. Kubo;Takatsugu Yamamoto;Shogo Tanaka;Yuhei Tsuda
阑尾切除术的并发症大多发生在术后早期。一位51岁女性因腹部胀满及右下腹疼痛性肿块来院就诊。疼痛的肿块与27年前进行的阑尾切除术的疤痕有关;手术后曾发生过一些早期的疼痛发作。可触及直径7厘米的压痛肿块，从阑尾切除术疤痕向脐部延伸。腹部超音波检查及电脑断层扫描的结果与腹壁脓疡一致，并予以切除。手术时，发现厚壁脓肿从阑尾切除术疤痕向脐部延伸，并从腹壁肌肉内延伸至腹膜前脂肪;它不与任何腹腔内器官相通。从脓肿内容物中分离出脆弱拟杆菌。病理检查显示炎性细胞包括中性粒细胞和浆细胞弥漫性浸润，炎症扩散到周围肌肉。我们的病人的发现表明，腹壁脓肿（所谓的施洛弗瘤）造成的持续炎症后，阑尾切除术27年前。由于施洛弗瘤的治疗并不困难，一旦诊断，医生和外科医生应该意识到施洛弗瘤作为一个可能的晚期并发症阑尾切除术。
Most complications of appendectomy occur in the early postoperative period. A 51-year-old woman presented to our hospital with abdominal fullness and a painful mass in the right lower abdomen. The painful mass was related to a scar from an appendectomy performed 27 years previously; some earlier episodes of pain had occurred after the operation. A tender mass 7 cm in diameter was palpable, extending from the appendectomy scar toward the umbilical region. Findings of abdominal ultrasonography and computed tomography were consistent with an abdominal wall abscess, which was excised. At operation, a thick-walled abscess was seen to extend from the appendectomy scar toward the umbilicus, and from within abdominal wall muscles to the preperitoneal fat; it did not communicate with any intra-abdominal organ. Bacteroides fragilis was isolated from the abscess contents. Pathologic examination revealed diffuse infiltration by inflammatory cells including neutrophils and plasma cells, with inflammation spreading into surrounding muscles. Our patient's findings indicate that the abdominal wall abscess (so-called Schloffer tumor) resulted from persistent inflammation following the appendectomy performed 27 years previously. Since treatment of Schloffer tumor is not difficult once the diagnosis is made, physicians and surgeons should be aware of Schloffer tumor as a possible late complication of appendectomy.