ULTRASONOGRAPHIC FEATURE OF SURGICAL WOUND INFECTION DUE TO MYCOBACTERIUM CHELONAE IN CHILDREN

XIA B, LI CR

Shenzhen Children’s Hospital, Shenzhen China

 

Objective: To exposed the ultrasonographic feature of surgical wound infection due to mycobacterium chelonae in children.

Methods: We performed ultrasonic scan on 15 patients who developed a localized infection due to M. chelonae following surgery receiving for iadirect inguinal hernia (8), aoute peritomtis (1), intestines obstruction (2), congenital megacolon (1), appendicitis (1), gastroschisis (1) and thyroglossal cyst (1), respectively.

Results: Abnormal sonography was shown at surgery wound areas in all patients. The sonographic features of local lesion included irregular hypoechoic nodule, mixed hypoechoic abscess and discharging sinus. The rangs of affected focus localized in layer of fat n= 5, muscular or fascia subperito neale n=7and  abdominal cavity or internal organs  (n=3) (mild, middle, severe degree respectively).

Conclusions: The shape and positions of abnormal sonographic feature are related to surgical operating methods and injured range by operation, and versus pathological changes. The sonographic features are helpful in differential diagnosis and choose treatment methods.

 
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