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頁籤選單縮合
題名 | Omental Inflammatory Mass Secondary to a Migrating Fish Bone: A Case Report=遊移的魚骨引起的大網膜發炎性腫塊:病例報告 |
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作者 | 倪宗亨; 黃敬文; 周士程; Nee, Chung-hunk; Huang, Ching-wen; Chou, Shih-cheng; |
期刊 | 中華民國急救加護醫學會雜誌 |
出版日期 | 20110300 |
卷期 | 22:1 2011.03[民100.03] |
頁次 | 頁40-48 |
分類號 | 416.24 |
語文 | eng |
關鍵詞 | 大網膜; 發炎性腫塊; 遊移的; 魚骨; Omentum; Inflammatory mass; Migrating; Fish bone; |
中文摘要 | 大多數吞入的魚骨會經由腸胃道順利排出,而無嚴重的併發症。大網膜的發炎性疾病通常是由腹腔內的疾病所引起的,例如大腸憩室炎、大網膜扭轉和梗塞、及腸胃道穿孔。我們報告一位 63歲女性因左下腹疼痛兩個月而至本院就醫。腹部電腦斷層掃描顯示左下腹有一個大網膜發炎性腫塊,裡面有一高亮度異物。術中發現一個大網膜發炎性腫塊,並將其整個完全切除,而且無任何腸胃道穿孔發生。術後病理報告證實有一魚骨在大網膜內。 |
英文摘要 | Most ingested fish bones pass through the gastrointestinal tract without major complications.Migration of an ingested sharp fish bone from the site of entry into the surrounding soft tissue is a rare complication. Inflammatory diseases of the omentum are usually caused by intra-abdominal conditions,such as colon diverticulitis, omental torsion and infarction, and bowel perforation. We report a 63-yearold woman who suffered from intermittent dull abdominal pain over the left lower quadrant for about 2months. Abdominal computed tomography revealed an omental inflammatory mass with a foreign body. An omental inflammatory mass with abscess was noted during laparotomy, and was excised totally. Nogastrointestinal tract perforation was noted. Pathology examination confirmed a fish bone in the omental inflammatory mass. The post-operative course was uneventful. The patient was discharged on the 6th day after the operation. |
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