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題 名 | Red Umbilicus as a Clinical Manifestation in a 19-Month-Old Girl with Typhoid Colonic Perforation=一位十九個月大女童的沙門氏菌結腸炎穿孔以肚臍發紅為臨床表現 |
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作 者 | 張鈺堂; 林釗佑; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 23:2 2007.02[民96.02] |
頁 次 | 頁80-83 |
分類號 | 417.6244 |
關鍵詞 | 孩童; 大腸穿孔; 腹膜炎; 傷寒熱; 肚臍; Children; Colonic perforation; Peritonitis; Typhoid fever; Umbilicus; |
語 文 | 英文(English) |
中文摘要 | 嬰兒時期肚臍處出現紅斑可能是腹膜炎的皮膚表現,但在其他年紀的孩童,腹膜炎合併肚臍發紅卻不常出現。我們提出一19個月大的女童,因沙門氏菌腸炎導致大腸穿孔,其最初至本院的臨床表現為腹脹和肚臍發紅。肚臍發紅的情況在剖腹手術後逐漸消失。我們認為嚴重的腹腔內感染和幼童腹壁薄弱,導致發炎反應易擴散至肚臍,是造成肚臍發紅的原因。由於這樣的表現很少出現在非嬰兒時期的孩童,因此提出此病例,以供日後診斷時參考。 |
英文摘要 | Redness of the umbilicus is usually considered to be a reliable sign of underlying gangrenous bowel or peritonitis in tiny infants but seldom among non-neonatal patients. We report a 19-month-old girl with final diagnosis of typhoid colonic perforation who initially presented with abdominal distention and umbilical erythema on arrival at our emergency department. The redness of umbilicus diminished gradually after laparotomy. Thin abdominal wall, severe intra-abdominal soiling, and polymicrobial infection accounted for the inflammatory process spreading to the skin of the umbilicus. Because of its rarity beyond the neonatal period, prompt diagnosis depends on maintaining a high index of suspicion when the abdomen is distended and suddenly tender to palpation. |
本系統中英文摘要資訊取自各篇刊載內容。