透過您的圖書館登入
IP:3.141.200.180
  • 期刊

Pneumoperitoneum, Pneumomediastinum and Subcutaneous Emphysema in a Patient with Pyloric Stenosis after Endoscopic Balloon Dilatation: Report of a Case

胃幽門部狹窄經內視鏡氣球擴張術後併發腹腔、縱膈腔及皮下氣腫:一病例報告

摘要


對於良性胃幽門部及十二指腸球部嚴重狹窄以致無法進食之病患,通常利用外科手術矯治。若因其他系統重度疾病以致患者不適合手術治療者,利用內視鏡氣球擴張術可有效地擴張狹窄而減少外科手術時之風險。我們報告一例胃幽門部及十二指腸球部嚴重狹窄的病例,經內視鏡氣球擴張術後發生腸道穿孔而同時合併腹腔、縱膈腔及皮下氣腫之徵象。

並列摘要


Endoscopic balloon dilation is becoming an effective alternative to surgery to treat patients with benign pyloric stenosis. We have encountered a 64-year-old woman with pyloric stenosis from earlier peptic ulcer disease. Due to concerns regarding her existing cardiac dysfunction, through-the-scope balloon dilation was performed as opposed to open surgery. The patient's condition was subsequently complicated by pneumoperitoneum, pneumomediastinum and subcutaneous emphysema. A perforation of gastrointestinal tract was considered. She underwent repair and reconstruction for the duodenal laceration and later recovered uneventfully.

延伸閱讀