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題名 | Spontaneous Pneumoperitoneum Secondary to a Ruptured Gas-Containing Liver Abscess: A Case Report=肝臟產氣膿瘍破裂造成腹腔積氣:病例報告與文獻回顧 |
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作者 | 吳佳聖; 孫灼均; 蔡易廷; Wu, Chia-sheng; Sun, Cheuk-kwan; Tsai, I-ting; |
期刊 | 臺灣急診專科醫師期刊 |
出版日期 | 20110900 |
卷期 | 3:3 2011.09[民100.09] |
頁次 | 頁89-92 |
分類號 | 416.246 |
語文 | eng |
關鍵詞 | 腹腔積氣; 肝膿瘍; 中空器官破裂; 剖腹手術; Pneumoperitoneum; Liver abscess; Hollow viscus perforation; Laparotomy; |
中文摘要 | 腹內積氣通常因中空內臟破裂引起,是需手術的腹部急症,肝臟產氣膿瘍破裂併發腹內積氣的個案很少,有個腹痛及嘔吐的84歲女性,電腦斷層是肝臟產氣膿瘍破裂併腹內積氣,她拒手術或插管引流,雖在抗生素治療下仍死亡。 |
英文摘要 | Pneumoperitoneum, a common manifestation in patients with acute abdomen, is usually considered an indication for surgical intervention when combined with peritoneal signs such as in hollow viscera perforation. To date, only a few cases of spontaneous pneumoperitoneum secondary to a ruptured liver abscess have been reported. We describe a rare case in an 84-year-old woman complaining of progressive abdominal pain and vomiting for 2 days. Computed tomography of the abdomen revealed a gas-containing liver abscess complicated by pneumoperitoneum. She refused surgery and pig-tail drainage and her condition rapidly deteriorated despite antibiotic treatment. She died soon after admission to the hospital. |
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