We report a case of right lower abdominal wall and groin abscess resulting from acute appendicitis. The patient was an 27-year-old man who had no apparent abdominal signs and was brought to the hospital due to progres...We report a case of right lower abdominal wall and groin abscess resulting from acute appendicitis. The patient was an 27-year-old man who had no apparent abdominal signs and was brought to the hospital due to progressive painful swelling of right lower abdomen and the groin for 10 d. Significant inflammatory changes of soft tissue involving the right lower trunk were noted without any apparent signs of peritonitis. Laboratory results revealed leukocytosis. Abdominal ultrasonography described the presence of abscess at right inguinal site also communicating with the intraabdominal region. Right inguinal exploration and laparotomy were performed and about 250 mL of pus was drained from the subcutaneous tissue and preperitoneal space. No collection of pus was found intraabdominally and subserous acute appendicitis was the cause of the abscess. The patient fully recovered at the end of the second post-operation week. This case reminds us that acute appendicitis may have an atypical clinical presentation and should be treated carefully on an emergency basis to avoid serious complications.展开更多
基金supported by the National Natural Science Foundation of China,Grant No.40627001the Major State Basic Research Development Program of China(973 Program),Grant No.2005CB422305the Program for Innovative Research Team in Science and Technology in Fujian Province University.
文摘报道了来自香港吐露港、中国长江口及厦门港的3个属的3种隐藻及1个变种, 即半片藻Hemiselmis sp. Novarino、伸长斜片藻Plagioselmis prolonga Butcher ex Novarino, Lucas & Morrall、伸长斜片藻北方变种Plagioselmis prolonga var. nordica Novarino, Lucas & Morrall、尖尾全沟藻Teleaulax acuta (Butcher) Hill, 并对每个种类的分类特征、生态分布进行描述, 同时提供每个种的光镜和扫描电镜照片。其中, 半片藻属Hemiselmis Parke是中国海区首次记录的属, 而伸长斜片藻Plagioselmis prolonga和尖尾全沟藻Teleaulax acuta可以引发赤潮。
文摘We report a case of right lower abdominal wall and groin abscess resulting from acute appendicitis. The patient was an 27-year-old man who had no apparent abdominal signs and was brought to the hospital due to progressive painful swelling of right lower abdomen and the groin for 10 d. Significant inflammatory changes of soft tissue involving the right lower trunk were noted without any apparent signs of peritonitis. Laboratory results revealed leukocytosis. Abdominal ultrasonography described the presence of abscess at right inguinal site also communicating with the intraabdominal region. Right inguinal exploration and laparotomy were performed and about 250 mL of pus was drained from the subcutaneous tissue and preperitoneal space. No collection of pus was found intraabdominally and subserous acute appendicitis was the cause of the abscess. The patient fully recovered at the end of the second post-operation week. This case reminds us that acute appendicitis may have an atypical clinical presentation and should be treated carefully on an emergency basis to avoid serious complications.
