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題名 | Perforated Duodenum--An Unusual Etiology of Fournier's Disease: A Case Report=罕見的弗尼爾氏症病源:十二指腸穿孔--病例報告 |
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作者姓名(中文) | 李永進; 楊文宏; 吳文正; 周以和; 黃俊雄; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 19:12 2003.12[民92.12] |
頁次 | 頁635-638 |
分類號 | 416.243 |
關鍵詞 | 十二指腸穿孔; 弗尼爾氏症; Duodenum perforation; Fournier's disease; |
語文 | 英文(English) |
中文摘要 | 弗尼爾氏症(一種壞死性筋膜炎)是發生在男性外生殖部一種進展快速的皮下感染。本文報告一位由十二指腸穿孔所引起的弗尼爾氏症病例。患者是在完成經皮穿肝膽道引流手術後,慢慢出現右側陰囊腫脹,在接受陰囊探查手術時,發現有大量的膿瘍合併肌肉壞死延伸到後腹腔。經由影像學檢查及再一次的腹部探查手術,證實病源是十二指腸穿孔。此膿瘍的分佈形式與以往的病例不同,可能是源於不同的感染路徑。對於有腹部病史的弗尼爾氏症患者,建議在決定做陰囊探查手術之前,一定要先仔細評估有無腹部的病源。 |
英文摘要 | Fournier’s disease, a form of necrotizing fasciitis, is a rapidly progressing subcutaneous infection of the male genitalia. We report a case of Fournier’s disease with the unusual etiology of a perforated duodenum. This patient suffered from progressive right scrotal swelling after percutaneous transhepatic cholangeal drainage. Scrotal exploration revealed a large abscess with muscle necrosis that had spread up to the right retroperitoneal space. Radiologic studies and second abdominal exploration documented the origin as a perforated duodenum. The pus distribution in this case suggested that the infection process differed from that in previous reports. In future cases of Fournier’s disease involving previous abdominal events, we recommend that abdominal origins be carefully surveyed before scrotal exploration. |
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