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題名 | Acute Chylous Peritonitis Report of Two Cases and Literature Review=急性乳糜性腹膜炎 |
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作者 | 尹文耀; 黃士銘; 李明哲; 鄭敦仁; 陳華宗; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 30:4 民86.07-08 |
頁次 | 頁288-292 |
分類號 | 415.57 |
關鍵詞 | 急性乳糜性腹膜炎; Acute chylous peritonitis; Acute abdomen; Chyle; |
語文 | 英文(English) |
中文摘要 | The extravastion of chyle into peritoneal cavity is rarely associated with the suuden development of clinical signs and symptoms of peritonitis. Therefore, an acute abdomen due to acute chylous peritonitis is very rare in our clinical experience.A review of the literature indicates 63 cases of this unusual disorder have been documented.In the majority of cases, and underlying cause could not be demonstrated. We present two adult female patients who sought medical treatment at our emergency department for the acute onset of abdominal pain and tenderness.The attack was preceded briefly by a meal in one patient and a blunt abdominal trauma in the other.A marked peritoneal sign prompted urgent laparotomy.During the operation, a considerable amount of free,sterile,non- foul-smelling chylous fluid was found in the peritoneal cavity.The fluid seemed to come out from the accumulated chyle between the mesenteric leaves.After taking a few milliters of milky fluid and several pieces of lymph node for the diagnostic purpose,we performed a thorough irrigation of the whole abdomen and placement of drains.Both of the patients,as the majority of cases in the literature,recovered uneventfully without recurrence after two and a half years of follow-up.Therefore,this illness,can generally be considered to have early awareness and appropriate treatment are still needed for the best out come. |
英文摘要 | 乳糜洩漏到腹腔內是一種少見的疾病,而因此種洩漏造成急性腹膜炎更是罕見, 在醫學文獻中,約有60幾個病例報告,所以此種病例在臨床上的經驗略為不足,而文獻中大 部分的病人乳糜洩漏原因皆不明。於此,我們提出2位病例,其中一位病人也是原因不明, 而另一位病人則因腹部鈍傷所致,二位病患皆引發急性腹膜炎,在緊急狀況下急需性開腹手 術處理,術後病況好轉,順利出院,我們整理這二位病患資料,並研究相關文獻,對此疾病 提出討論及報告。 |
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