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題 名 | Spontaneous Retroperitoneal Hemorrhage in a Mediastinal Tumor in a Patient with Polymyositis: A Case Report=縱膈腔腫瘤及多發性肌炎併發自發性後腹腔出血--一個案報告 |
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作 者 | 方姿蓉; 許世傑; 石明誠; 王程遠; 陳苓怡; 蔡宜純; 林育志; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 24:8 2008.08[民97.08] |
頁 次 | 頁436-440 |
分類號 | 416.226 |
關鍵詞 | 縱膈腔腫瘤; 多發性肌炎; 自發性後腹腔出血; Mediastinal tumor; Polymyositis; Spontaneous retroperitoneal hemorrhage; |
語 文 | 英文(English) |
中文摘要 | 自發性後腹腔出血是急性腹痛症中可能造成死亡的疾病之一,大多與藥物、凝血功能不佳或腹內腫瘤有關。在多發性肌炎和皮肌炎的病人中,急性腹痛症多是因為腸血管炎造成缺血、潰瘍甚至穿孔而引起。多發性肌炎病人合併有自發性後腹腔出血,是幾乎沒有被報導過的案例。我們的病患是一位 65 歲女性,剛被診斷為多發性肌炎及疑胸腺瘤,發生自發性後腹腔出血。她在 24 小時內有兩次大量後腹腔出血,引致休克,必須兩次緊急血管栓塞術方能止血。在血管攝影及電腦斷層中,並沒有發現病人有腹內腫瘤、血管炎或血管瘤。 |
英文摘要 | Spontaneous retroperitoneal hemorrhage is a lethal cause of acute abdomen that is most frequently related to drugs, coagulopathy and intra-abdominal tumors. In patients with polymyositis and dermatomyositis, acute abdomen is attributed to intestinal vasculitis causing ischemia, ulceration or perforation. Spontaneous retroperitoneal hemorrhage, however, has rarely been reported in patients with polymyositis. We report the case of a 65-year-old woman with newly diagnosed polymyositis and suspected thymoma who suffered from spontaneous retroperitoneal hemorrhage. She experienced two massive retroperitoneal hemorrhage episodes within 24 hours, which resulted in shock and required emergent angiographic embolization. There was no evidence of tumor, vasculitis or aneurysm from abdominal angiography and computed tomography. |
本系統中英文摘要資訊取自各篇刊載內容。