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題名 | Retention of a Surgical Needle in the Pelvic Cavity for 20 Years=手術縫線針頭殘留於骨盆腔達二十年:病例報告 |
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作者姓名(中文) | 謝耀元; 蔡鴻德; 張其真; 葉聯舜; 林武周; 徐泰彥; | 書刊名 | 中臺灣醫學科學雜誌 |
卷期 | 4:2 1999.06[民88.06] |
頁次 | 頁141-144 |
分類號 | 416.3 |
關鍵詞 | 外來異物; 殘留手術縫線針頭; Foreign body; Retained surgical needle; |
語文 | 英文(English) |
中文摘要 | 本文報告一手術縫線針頭殘留於體內達20年之罕見病例。病患於20年前接受子宮全切除術,術後期間並無腹痛、腸道阻塞或感染等併發症。近日接受全身健康檢查時,腹部X光檢查發現腹腔有疑似手術縫線之影像。電腦斷層掃描發現於直腸右側及陰道之間有一彎曲金屬性異物影像。手術探查發現一手術縫線針頭殘留於腸系膜與直腸漿膜層之沾黏組織之間,結腸結構完整,小腸及直腸與陰道之間並無廔管形成。 |
英文摘要 | We report a case of an asymptomatic 53-year-old woman with a surgical needle retained in the pelvis for 20 years. Twenty years ago, this patient underwent a total abdominal hysterectomy and a surgical needle was left in the pelvic cavity by mistake. During the 20 years after the surgical procedure, the patient did not suffer at all from lower abdominal pain, intestinal impairments, infections, or other symptoms. It was during a routine physical check-up that an abdominal radiography revealed a needle-like foreign body. Computed tomography revealed a metallic material with curvilinear shape projecting between the right and anterior aspects of the pararectal area and posterior aspect of the vaginal stump. Exploratory laparotomy confirmed a needle between the rectum and vaginal stump with surrounding adhesion of intestinal mesentery and rectal serosa. The colon was intact and there was no fistula formation between the intestines, rectum, and vagina. |
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