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頁籤選單縮合
題名 | 腎臟惡性淋巴瘤以大腸穿孔表現: 一病例報告=Renal Lymphoma Presenting with Colon Perforation: A Case Report |
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作者 | 何明印; 吳建廷; 賈永芳; | 書刊名 | 內科學誌 |
卷期 | 9:1 1998.03[民87.03] |
頁次 | 頁46-50 |
分類號 | 415.6 |
關鍵詞 | 腎臟惡性淋巴瘤; 大腸穿孔; Renal lymphoma; Colon perforation; |
語文 | 中文(Chinese) |
中文摘要 | 一位79歲的男性病人因上腹部不舒服與食慾不振一星期而到本院內科門診就醫 ,病人因為有便祕習慣與進行性的腹脹而被安排下消化道鎮劑雙重造影。結果顯示在降結 腸近脾曲處有一個大型不規則狀潰瘍,切片檢查結果並未發現惡性細胞,由於無法確定是 腎臟或大腸為主之疾病,在病人與家屬同意下進行剖腹探查。手術發現為左側腎臟腫瘤併 大腸侵犯與穿孔,病理報告確定診斷為腎臟淋巴瘤。不幸病人仍於手術兩個月後死於敗血 症。因腎臟淋巴瘤併發大腸穿孔的病例極為罕見,因此收集文獻並提出來討論。 論。 |
英文摘要 | A 79-year-old male patient called our medical clinic due to epigasthc discomfort and poor appetite for one week. Because of the habit of constipation and progressive abdominal distention, the double contrast lower gastrointestinal series was arranged. It revealed a tumor over the splenic flexure of the colon. In hospitalization, the colonoscopic examination showed a big and deep ulcer with dirty base and no malignant cell was seen in the biopsied specimen except for ulceration. The family and the patient were agree with laparotomy due to difficult differential diagnosis between renal tumor and colon tumor either by ultrasonography or abdominal computer tomography. The operative findings were left renal tumor with colon invasion and colon perforation. The pathology proved renal lymphoma. There was complication of retroperitoneal abscess and the patient was expired 2 months later. We report this case here due to the inridence of retroperitoneal renal lymphoma is uncommon and the rare complication of colon perforation.(J lntern Med Taiwan 1998; 9 46-50) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。