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相關文獻
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頁籤選單縮合
題名 | Rectal Ameboma Associated with Amebic Liver Abscess Mimicking Rectal Carcinoma with Liver Metastasis: Report of a Case=類似直腸癌合併肝轉移之直腸阿米巴瘤合併肝膿瘍:病例報告 |
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作者 | 林信沅; 范揚國; 王定偉; | 書刊名 | 臺灣外科醫學會雜誌 |
卷期 | 39:1 民95.01-02 |
頁次 | 頁48-51 |
分類號 | 416.245 |
關鍵詞 | 大腸阿米巴瘤; 阿米巴痢疾; 肝膿瘍; Amebic liver abscess; Rectal ameboma; |
語文 | 英文(English) |
中文摘要 | 大腸阿米巴瘤是侵犯性阿米巴痢疾少見的後遺症之一,大多數發生在盲腸。臨床上如果只靠影像檢查,甚至大腸鏡檢,很容易誤診為大腸癌。我們在此提出一個直腸阿米巴瘤合併肝膿瘍的病例,雖然極為罕見,但是必須非常小心地和直腸癌合併肝臟轉移的病人區分。大腸鏡切片檢查是正確診斷的必要條件。內科藥物治療通常已經足夠,除非有發生併發症才會考慮外科手術治療。 |
英文摘要 | Colonic ameboma, most often found in the cecum, is a rare consequence of invasive amebiasis and can be easily misdiagnosed as colon cancer if investigated only with imaging studies or even colonoscopy. Herein, we present an extremely rare case of rectal ameboma associated with amebic liver abscess, which can only be distinguished with great care from rectal cancer with liver metastasis. Colonoscopic biopsy is a prerequisite for correct diagnosis. Medical management is usually sufficient unless complications occur, when surgical intervention should be considered. |
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