頁籤選單縮合
題 名 | Primary Abscess of the Omentum: Report of a Case and Review of the Literature=原發性大網膜膿瘍:病例報告與文獻回顧 |
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作 者 | 王照元; 謝建勳; 蔡坤寶; 黃裕勝; 侯明鋒; 黃宗人; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 17:6 2001.06[民90.06] |
頁 次 | 頁327-330 |
分類號 | 416.242 |
關鍵詞 | 原發性大網膜膿瘍; Omentum; Abscess; |
語 文 | 英文(English) |
中文摘要 | 原發性大網膜膿瘍是一種罕見的疾病。我們報告一位60歲男性病患因 在過去數日來有左下腹疼痛並有局部腹部壓痛,噁心,高燒至本院求診。腹部電 腦斷層顯示在腹腔內有一個異質性的病灶與腹壁有相黏連。術前的診斷為結腸憩 室炎併發腹內膿瘍,因而為此病患施行剖腹探查術。於手術當中發現在大網膜中 有一個含有膿瘍的硬塊。我們採取大網膜膿瘍部位切除以及腹壁闊清術,然後再 給於抗生素的治療。術後病人的恢復情況良好。臨床醫療人員在處理這類病患時 必須注意到這個問題,因為此疾病在手術前之診斷不易。 |
英文摘要 | Primary abscess of the omentum is an infrequent disease entity. We report a case of 60-year-old male patient who suffered from left lower quadrant abdominal pain with localized abdominal wall tenderness, nausea and high-grade fever for the previous few days. Computerized tomography scan revealed a heterogeneous lesion that adhered to the abdominal wall. A pre-operative diagnosis of colonic diverticulitis complicated with intra-abdominal abscess was made and a laparotomy was done. At surgical exploration, an indurate mass consisting of abscess within the omentum was identified. The surgical procedure consisted of resection of the omental abscess with abdominal wall debridement, and subsequent antimicrobial therapy was administered. Postoperatively, the patient recovered uneventfully. Clinicians who treated such patients should be aware of this problem because of the difficulty of preoperative diagnosis. |
本系統中英文摘要資訊取自各篇刊載內容。