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題名 | Perforated Duodenal Ulcer with Blurred Peritonitis in a Colorectal Cancer Patient with Liver Metastasis=無明顯腹膜炎之十二指腸潰瘍穿孔發生於具肝轉移之大腸直腸癌病患 |
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作者 | 李昇憲; 廖達興; 陳子安; | 書刊名 | 臺灣急診專科醫師期刊 |
卷期 | 1:1 2009.12[民98.12] |
頁次 | 頁60-65 |
分類號 | 416.245 |
關鍵詞 | 轉移性大腸直腸癌; 穿孔性十二指腸潰瘍; Metastatic colorectal cancer; Perforated duodenal ulcer; |
語文 | 英文(English) |
中文摘要 | 即使有新式的化學治療及手術,轉移性大腸直腸癌的治療對外科及腫瘤科醫師仍是嚴峻的考驗。我們報告一例罹患直腸癌併肝轉移之七十歲女性病人,接受緩和性手術及化學治療後,因腹脹而求診。胃鏡檢查結果為十二指腸潰瘍穿孔。緊急行剖腹探查手術發現為肝臟轉移腫瘤將十二指腸潰瘍穿孔處覆蓋,故減輕了臨床症狀。本病例提醒臨床醫師對發生於轉移性大腸直腸癌病患之不明示腹痛仍需警覺,以作詳細檢查。 |
英文摘要 | We reported a 70-year-old woman, who had colorectal cancer with multiple liver metastasis and palliative surgery as well as chemotherapy were performed, with initial presentation of abdominal distension. Panendoscopy disclosed duodenal ulcer perforation. Emergent laparotomy was performed and revealed the metastatic tumor compressing the perforated wound, which reduced the clinical severity. This case reminds clinicians of the detail examination for the possible medical condition, even in a metastatic colorectal cancer patient who presented with uneventful abdominal discomfort. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。