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1
題名:Pneumoperitoneum Caused by Ruptured Gas-Containing Pyogenic Liver Abscess: A Case Report and Literature Review     (16點)
細菌性含氣肝膿瘍破裂引起的氣腹:一病例報告及文獻回顧
著者:Chih-Chung Chao(趙志中) ;Sung-Yuan Hu(胡松原) ;Ying-Hock Teng(陳永福)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:細菌性含氣肝膿瘍 ; 氣腹 ; 破裂 ; gas-containing pyogenic liver abscess (GPLA) ; pneumoperitoneum ; rupture
刊名:Journal of Emergency and Critical Care Medicine
卷期:23卷1期(2012.3)
頁碼:11-18
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

85-95%的氣腹是因腹腔內臟器穿孔所造成的。5-15%的氣腹是由其他的原因造成。在此,我們報告一例新診斷糖尿病57歲男性,因細菌性含氣肝膿瘍破裂所引起的氣腹。他所表現出的症狀與腹腔內臟器穿孔極相似。經手術、引流、抗生素治療及嚴格血糖控制後,病人順利的康復出院。
Pneumoperitoneum reflects intra-abdominal visceral perforation in 85 to 95% of all occurrences. In 5 to 15% of cases, however, pneumoperitoneum does not reflect perforation and results from another source. Herein, we report a rare case of surgery indicated pneumoperitoneum caused by the rupture of gas-containing pyogenic liver abscess (GPLA) in a newly-diagnostic diabetic 57-year-old man. He presented the symptoms mimicking intra-abdominal visceral perforation. He recovered uneventfully after surgical intervention, drainage, full-course of antibiotics and strict control of blood glucose. Cultures of blood and ascites grew Klebsiella pneumoniae.


    

本卷期目次
Journal of Emergency and Critical Care Medicine 23卷1期 (2012.3)
Adjuvant Treatment with Fish Oil-based Lipid Emulsion for Patients with Septic Shock in Intensive Care Unit: A Clinical Safety Evaluation/ Boon-Siang KhorSing-Yi LinHuang-Sheng ChenKou-Chou HsiehMei-Chih YehMing-Pin WuYih TingHow-Chin LiaoShiumn-Jen Liaw
Pneumoperitoneum Caused by Ruptured Gas-Containing Pyogenic Liver Abscess: A Case Report and Literature Review/ Chih-Chung ChaoSung-Yuan HuYing-Hock Teng
Spontaneous Pneumomediastinum and Subcutaneous Emphysema after Jogging: Successful Resolution with Conservative Treatment/ Fu-Yuan SiaoWoei-Horng ChaiChun-Wen ChiuChin-Fu ChangChu-Chung ChouChun-Chieh Chiu
Superior Mesenteric Artery Syndrome: A Case Report/ Min-Po HoChang-Ming LiuKaung-Chau TsaiYuan-Hui Wu
Acromegaly with Pituitary Tumor Apoplexy: A Case Report/ Yu-Hsin ChengYi LiuAnn-Shung Lieu
Pneumonia and Acute Respiratory Distress Syndrome in a Patient with Influenza A (H1N1)/ Deng-Wei ChouKuo-Mou Chung
Obturator Hernia with Small Bowel Incarceration/ Min-Chieh ShiehChi-Wen TuChing-Chung ChiangChi-Szu Liao
Ovarian Torsion: An Interesting Plain Abdominal Radiograph of an Ovarian Teratoma/ Jian-Lin OuFang-Shun LinChung-Cheng LeeChiing-Hsiang SuChung-Jen Weng
 
   
 
   

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