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題 名 | Spontaneously Ruptured Gas-Containing Pyogenic Liver Abscess: An Unusual Case of Pneumoperitoneum=細菌性含氣肝膿瘍破裂引起氣腹:病例報告 |
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作 者 | 沈顯章; 高志賢; 廖達興; 劉錦勳; 翁惠生; 楊誠群; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 29:4 2004.08[民93.08] |
頁 次 | 頁203-206 |
分類號 | 415.53 |
關鍵詞 | 肝膿瘍; 氣腹; Liver abscess; Pneumoperitoneum; |
語 文 | 英文(English) |
中文摘要 | 氣腹是急診常見的症狀,常常是腸胃道破孔所引起。由細菌性含氣肝膿瘍破裂而引起的氣腹則甚為罕見。患者因發燒及右上腹痛並併隨噁心嘔吐而到醫院急診室就診。胸部及腹部X光片所見,高度懷疑是含氣肝膿瘍破裂併發氣腹,並經腹部電腦斷層證實此診斷。外科醫師馬上安排手術把膿瘍切除,腹腔清洗及引流並注射抗生素治療。從以前所發表的論文所知,這疾病多被延誤診斷或誤診為腸胃道破孔。本病例在第一時間就被正確診斷,並給予適當治療。 |
英文摘要 | We report a case of pneumoperitoneum due to spontaneous rupture of a gas-containing pyogenic liver abscess. The patient suffered from fever and right upper quadrant abdominal pain for 4 days. The pain became aggravated and was accompanied by nausea and vomiting. The patient was sent to the emergency room of our hospital. The chest X-ray and KUB revealed a liver abscess that was complicated by pneumoperitoneum. The diagnosis was confirmed by CT scan. An emergency operation with abscess excision, peritoneal lavage and drainage was done and followed by administration of appropriate antibiotics. To our knowledge, pneumoperitoneum due to a ruptured liver abscess is very rare. For most of the cases reported in the literature, an accurate diagnosis could not be made by the first impression or they were misdiagnosed as hollow organ perforation. In our case, we made the diagnosis, in the emergency room, of a gas-containing pyogenic liver abscess that had ruptured and been complicated by pneumoperitoneum. |
本系統中英文摘要資訊取自各篇刊載內容。