- 期刊
蛔蟲症引起肉芽腫性腹膜炎之一例報告
Ascariasis with Granulomatous Peritonitis: A Case Report
摘要
本文報告一蛔蟲症引起肉芽腫性腹膜炎的病例。因懷疑是腹部腫瘤而接受開刀，開刀時發現在網膜、腸系膜及腸漿膜上有很多白色栗粒狀小結，同時在腹膜腔有一膿腫，初以為是腸結核併發冷性膿腫，在顯微鏡下做病理組織檢查才發現是寄生蟲性肉芽腫，其內有很多蟲卵。筆者並參閱文獻，對淤蛔蟲引起的肉芽腫性腹膜炎的臨床徵侯，致病原因、病理變化以及診斷加以討論。
關鍵字
無資料並列摘要
A two-year-old girl with granulomatous peritonitis caused by ascaris ova is reported. After a month of febrile episode with abdominal pain, she was seen with abdominal mass and ascites. On surgical exploration of the abdominal mass, a walled intraabdominal abscess was getting along with multiple miliary whitish nodules studded throughout the omentum, mesentery and serosal surface of the intestine suggesting intestinal tuberculosis with cold abscess. However, microscopic examination of the nodules of the omentum and the wall of the abscess revealed granulomatous inflammation around degenerated ascaris eggs. The literature on granulomatous peritonitis evoked by ascaris ova in human was reviewed and the clinical manifestations, pathogenesis, pathology and diagnosis were discussed.
延伸閱讀
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