- 期刊
Delayed Intestinal Stenosis after Blunt Abdominal Trauma: Report of a Case
腹部鈍傷所引起之遲發性腸道狹窄－病例報告
摘要
在大多數的情況之下，腹部鈍傷所引起之腸道傷害都並不明顯，無論臨床症狀或影像檢查都易被忽略，有的時候，在腹部鈍傷數月後才以腸阻塞的問題出現。我們報告一位十二歲男童因車禍所引致的遲發性腸道狹窄，經住院觀察，並利用小腸X光鋇劑檢查追蹤，在腹部鈍傷後第二十九天產生完全性小腸阻塞。
關鍵字
無資料並列摘要
Major intestinal injury may be present with very subtle clinical and/or imaging findings. Sometimes, delayed intestinal stenosis may occur even several months after the blunt abdominal trauma. We present a 12-year-old boy with delayed jejunal stenosis following blunt abdominal injury in acar collisison. Computed tomography (CT) scan showed streaky infiltrates in the mesentery and fluid densities in the bilateral anterior pararenal spaces as well as enhancement of bowel wall on the 2nd day after trauma. A”bird-beak” sign at the proximal jejunum with diffuse mucosal swelling of jejunal loops were seen on barium follow-up study on the 7th day. Complete obstruction at the duodenojejunal junction was identified by the follow-up barium examination on the 29th day.
延伸閱讀
- Chen, K. H., Cheng, L. L., Tsai, M. J., Tsai, H. M., & Yu, C. Y. (1996). 腹部鈍傷以電腦斷層診斷中空臟器和腸系膜損傷的角色. 中華放射線醫學雜誌, 21(3), 131-136. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199606-21-3-131-136-a
- Seak, C. J., Chen, H. M., & Ng, C. J. (2006). 腹部鈍傷後所導致之總膽管單獨損傷：一病例報告. Journal of Emergency Medicine, Taiwan, 8(1), 23-26. https://www.airitilibrary.com/Article/Detail?DocID=15623386-200603-8-1-23-26-a
- Cheng, C. H., Chen, W. K., Wang, Y. C., Huang, H. H., Tsai, J. S. H., & Leung, W. S. (2008). 腹部鈍傷致小腸破裂在電腦斷層掃描和診斷性腹膜灌洗術之特徵. Journal of Emergency Medicine, Taiwan, 10(3), 73-80. https://www.airitilibrary.com/Article/Detail?DocID=15623386-200809-10-3-73-80-a
- Lee, H. L., Wu, C. H., Lee, T. H., Yu, S. H., & Liao, H. H. (2011). 腹部鈍傷合併十二指腸及空腸完全橫斷裂之成功治療案例. 重症醫學雜誌, 12(1), 40-44. https://doi.org/10.30035/TCCM.201103.0007
- Wang, C. Y., Du, F., Huang, S. M., & Tsai, Y. C. (2009). 自發性的胃腸道間質腫瘤破裂引發非創傷性腹腔積血：病例報告. 中華放射線醫學雜誌, 34(4), 293-297. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200912-201005210053-201005210053-293-297