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Unusual Bilateral Peritoneopleural Communication Associated with Cirrhotic Ascites: Detected by TC-99M Sulphur Colloid Peritoneoscintigraphy

TC-99M Sulfur Colloid腹膜閃爍攝影於肝硬化患者疑有兩側腹胸膜交通而引起胸膜腔積水之診斷:病例報告

摘要


胸膜腔積水對於肝硬化合併腹水的病患是已知但不常見之併發症,其發生率約佔6%左右,通常發生在右側,偶爾可見於左側,但同時發生在兩側的情況卻非常少見。本篇報告主要措述有肝硬化合併腹水之46歲女性患者,因兩側胸膜腔積水合併呼吸困難而入院,在懷疑因腹胸膜交通而引起的胸膜腔積水安排核子醫學的Tc-99m sulfur colloid 腹膜閃爍攝影檢查,並且發現少見的兩側腹胸膜交通的情形。此篇報告再度證實Tc-99m sulfur colloid腹膜閃爍攝影是一種迅速、簡單、正確、又不具侵襲性的腹胸膜交通之診斷方法。

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並列摘要


Hydrothorax is an infrequent but well-recognized complication in patients on continuous ambulatory peritoneal dialysis (CAPD) and patients with cirrhotic ascites. It is usually found on the right side; an incidence on both sides is rarely reported. We describe the scintigraphic diagnosis of unusual bilateral peritoneopleural communication in a patient with cirrhotic ascites.

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