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題名 | Pneumoretroperitoneum in a Patient with Sigmoid Diverticulitis=後腹腔氣體鬱積為主要表現之乙狀結腸憩室炎 |
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作者 | 陳盛斌; 林明燦; 張金堅; 王世名; Chen, Sheng-bin; Lin, Ming-tsan; Chang, King-jen; Wang, Shih-ming; |
期刊 | 中華民國大腸直腸外科醫學會雜誌 |
出版日期 | 20010600 |
卷期 | 12:2 2001.06[民90.06] |
頁次 | 頁47-51 |
分類號 | 416.245 |
語文 | eng |
關鍵詞 | 後腹腔氣體鬱積; 乙狀結腸憩室炎; Pneumoretroperitoneum; Sigmoid diverticulitis; |
中文摘要 | 乙狀結腸憩室炎於中老年人並不少見,主要是以腹部疼痛及發燒為表現。治療上,除已發生併發症如腹腔內膿瘍,腹膜炎,出血或廔管形成而需外科手術治療外,一般以非外科方式為主。今提出一乙狀結腸憩室炎之病例,其主要以明顯之後腹腔氣體鬱積為表現,經由腹部X光可發現氣體於後腹腔鬱積;腹部電腦斷層檢查可清楚發現鬱積氣體之程度與範圍。此病例因腹膜炎及敗血症接受緊急手術治療。據文獻查證,目前並無以後腹腔氣體鬱積為主要表現之乙狀結腸憩室炎的報告。 |
英文摘要 | Sigmoid colon diverticulitis is not uncommon in the elderly. The typical manifestations are gradual onset of abdominal pain and low-grade fever. The management is non-surgical unless complications develop such as bleeding, intra-abdominal abscess, peritonitis or fistula formation. We report a case of pneumoretroperitoneum secondary to sigmoid colon diverticulitis in a 75-year-old man. Pneumoretroperitoneum was detected on plain abdominal film and verified by computed tomorgaphy. the patient underwent emergent operation due to peritonitis and sepsis. To our knowledge, pneumoretroperitoneum as a finding of diverticulitis has not been previously reported. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。