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題名 | 魚骨吞入引起腹壁膿瘍:病例報告及文獻回顧=Ingestion of a Fish Bone Complicated by Abdominal Abscess: A Case Report and Literature Review |
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作者姓名(中文) | 楊博文; 楊菁華; 鄭舒倖; 吳敬堂; 羅世慧; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷期 | 17:2 民95.06 |
頁次 | 頁81-85 |
分類號 | 416.242 |
關鍵詞 | 魚刺; 腹壁膿瘍; 腸胃道穿孔; 電腦斷層掃描; Fish bone; Abdominal wall abscess; Gastrointestinal perforation; Computed tomography scan; |
語文 | 中文(Chinese) |
中文摘要 | 我們提出一例,魚骨吞入,穿過腸壁並移走至腹壁形成腹壁膿瘍之病例報告。一位四十歲男性病患因左下腹腫塊一週而至本院就醫。腹部電腦斷層掃描顯示腹壁中有一異物並形成膿瘍。該病患隨後接受膿瘍切除引流手術,並取出此異物,證實是,魚骨。診視不明原因腹痛或不明原因腹壁膿瘍之病患時,應將異物吞入列為鑑別診斷中的少數原因之一;異物造成腸胃道穿孔時,若未出現腹膜炎徵候可能不易診斷,電腦斷層掃描有助於此類病患之術前診斷,並訂定適當的治療計畫。 |
英文摘要 | We report a case of small intestine penetration by a fishbone with migration to the abdominal wall and abscess formation. A 40-year-old man visited our hospital with the chief complaint of a painful left lower abdominal mass for one week. An abdominal computed tomography (CT) scan revealed a foreign body located in the abdominal wall with abscess formation. An operation was therefore performed and a fish bone was retrieved. Foreign body ingestion should be considered as a rare cause of abdominal pain or abscess of the abdominal wall. A perforation of the gastrointestinal tract by an ingested foreign body is difficult to accurately and quickly diagn ose when no peritonitis is observed. CT scanning may provide a preoperative diagnosis and allow an appropriate therapeutic approach. |
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