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十二指腸壁內血腫之放射線學診斷及超音波導引經皮針吸治療－病例報告
Intramural Hematoma of the Duodenum: Radiological Diagnosis & Percutaneous Needle Aspiration under Ultrasound Guidance-A Case Report
摘要
一個八歲女童因機車車禍腹部鈍傷，於受傷後第六天轉至本院治療。經急診超音波檢查及上腸胃道鋇劑攝影確定爲十二指腸壁內血腫，再經十二天的姑息療法後追跺超音波檢查發現血腫大小並無變化，故於受傷後第十八天施行超音波導引下經皮針吸治療術，結果抽出60c.c.黑色無凝固的血液，病童復原迅速，於七天後痊癒出院。
並列摘要
An eight year-old girl was transferred to our hospital because of constant bile-contained vomiting for 6 days after motocycle accident. Real-time ultrasonography of the upper abdomen showed a 6 cm of echo-complex cystic mass in the duodenal circle & barium study confirmed it as an intramural hematoma of the 2 nd & 3 rd portion of duodenum. Conservative treatment with N-G decompression & total parenteral nutrition were given for 18 days, but the size of hematoma didn't change & the obstructive sign persisted. Finally, we decided to perform percutaneous needle aspiration of the intramural duodenal hematoma under ultrasound guidance instead of exploratory laparotomy. Sixty mililiters of old blood were aspirated via the 16 G teflon sheath needle smoothly. This girl was discharged 7 days later with complete recovery. To our knowledge, percutaneous aspiration of duodenal intramural hematoma has not been reported yet. We'd like to present our experience in the management of this patient.
延伸閱讀
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