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相關文獻
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頁籤選單縮合
題名 | Traumatic Duodenal Perforation Presenting as Emphysematous Pyelonephritis=創傷性十二指腸穿孔以類似產氣性腎盂腎炎呈現 |
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作者姓名(中文) | 劉代懿; 廖為博; 陳振佳; 楊惠中; 洪吉志; | 書刊名 | 臺灣急診醫學會醫誌 |
卷期 | 12:1 2010.03[民99.03] |
頁次 | 頁13-17 |
分類號 | 416.243 |
關鍵詞 | 腹部鈍傷; 十二指腸破裂; 產氣性腎盂腎炎; Blunt abdominal injury; Duodenal rupture; Emphysematous pyelonephritis; |
語文 | 英文(English) |
英文摘要 | We report a case of right upper abdominal pain after hit by the bike handle. Her abdominal pain was resolved and was send home from our Emergency department (ED) at the first day after trauma. However 2 days after, her abdominal pain gradually worsened with accompanying high grade fever prompting her to seek consultation again at our ED. Abdominal x-ray showed gas pattern surrounding her renal shadow resembling acute emphysematous pyelonephritis. Abdominal computerized tomography proved the retroperitoneum hollow organ perforation with normal appearance of the right kidney. And after emergency laparotomy, it was confirmed that there was perforation of the 3rd portion of the duodenum. Patient was confined in our institution for a period of 21 days and fully recovered upon discharged. |
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