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Case Report Huge Iliopsoas Abscess with Delayed Sigmoid Colonic Perforation in a Child 兒童巨大髂腰肌膿腫伴遲發性乙狀結腸穿孔 Abstract Iliopsoas abscess is rare in childhood and reported complications include septic shock, ileus and hydronephrosis. The authors encountered such a case in a 2-year-old girl with a huge left iliopsoas abscess adjacent to the sigmoid colon, descending downward into the groin area. Delayed sigmoid colonic perforation occurred after surgical drainage of the abscess. Local inflammation of the bowel wall due to irritation by the abscess may be the pathogenesis of intestinal perforation. 髂腰肌膿腫在兒童中很少見，已報導的併發症包括感染性休克、腸梗阻和腎積水。作者遇到一例2歲的女孩，左側巨大的髂腰肌膿腫毗鄰乙狀結腸，下行到腹股溝區。膿腫引流術後出現遲發性乙狀結腸穿孔。由膿腫刺激引起的腸壁局部炎症可能是腸穿孔的發病機制。 Keyword : Child; Colonic perforation; Iliopsoas abscess 關鍵詞：兒童、結腸穿孔、髂腰肌膿腫
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