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相關文獻
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題名 | Liver Abscess Secondary to Fish Bone Penetration of the Gastric Wall: A Case Report=魚骨刺穿胃壁引發肝膿瘍:一病例報告 |
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作者姓名(中文) | 蔡振流; 毛士維; 吳俊仁; 蘇文輝; 楊若波; 王政宗; | 書刊名 | 中華醫學雜誌 |
卷期 | 62:1 1999.01[民88.01] |
頁次 | 頁51-54 |
分類號 | 416.24 |
關鍵詞 | 魚骨; 腸胃道穿孔; 肝膿瘍; Fish bone; Gastrointestinal perforation; Liver abscess; |
語文 | 英文(English) |
中文摘要 | 一位65歲的家庭主婦因腹痛、發燒、畏寒而住院。其身體檢查顯示貧血及上腹壓 痛;實驗室檢查發現白血球增多及肝功能異常;腹部電腦斷層顯示肝左葉有一巨大膿瘍。經 剖腹探查,發現有一3.7公分長的魚骨刺穿胃壁至肝左葉,因而形成肝膿瘍。我們將肝膿瘍 引流,移去魚骨,並單純縫合胃穿孔,之後病人康復且情況良好。我們報告此罕見病例,並 回顧異物刺穿胃腸道併發肝膿瘍的相關文獻。 |
英文摘要 | An unusual case of liver abscess caused by fish bone perforation of the stomach is presented in this report. A 65-year-old woman was admitted to the Far Eastern Memorial Hospital for abdominal pain, fever and chills. Physical examination revealed anemia and tenderness in the epigastrium. Laboratory data showed leukocytosis and abnormal liver function. Computerized tomography of the abdomen disclosed a huge abscess in the left lobe of the liver. Exploratory laparotomy was performed and a fish bone, 3.7 cm in length, was found perforating the stomach with penetration into the left lobe of the liver, resulting in a hepatic abscess. Drainage of the liver abscess with removal of the fish bone and simple closure of the gastric perforation were performed. The patient recovered uneventfully. |
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