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頁籤選單縮合
題名 | Pancreatitis with Gallbladder Ascariasis in a Child: Case Report=兒童胰臟炎併有膽囊內蛔蟲:病例報告 |
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作者姓名(中文) | 刁茂盟; 梁啟迪; 黃守智; 黃崇濱; 施相宏; | 書刊名 | 長庚醫學 |
卷期 | 24:1 2001.01[民90.01] |
頁次 | 頁68-71 |
分類號 | 417.5461 |
關鍵詞 | 蛔蟲; 超音波; 胰臟炎; 蟲體蠕動; Ascaris; Sonogram; Pancreatitis; Worm-movement; |
語文 | 英文(English) |
英文摘要 | A 10-year-old girl was admitted for abdominal pain for 1 week. Morning vomiting with 5 Ascaris and diarrhea with Ascaris were found. Radiograph of the abdomen disclosed no significant abnormality. Abdominal sonogram revealed a normal biliary tree; but mildly enlarged pancreatic thickness, and thickened gallbladder wall. Within the thickened gallbladder wall a linear echogenic structure with worm-like movement suspected of being Ascaris was found. We report this case because pediatric pancreatitis and a gallbladder wall thickened with worm-movement have rarely been reported. Urgent treatment and surgery are required for the very ill child with a tensely distended abdomen or signs of peritoneal irritation. Eearly diagnosis is very important to prevent further complications. We emphasize the role of sonography in the diagnosis of this case and the prevention of progressive deterioration. (Chang Gung Med J 2001;24:68-71) |
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