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Pneumoperitoneum without Hollow Organ Perforation: A Case Report

無臟器穿孔之腹腔積氣:一病例報告

摘要


腹腔積氣常被認為跟臟器穿孔有關,必須緊急外科照會及開刀處理,但有百分之十的腹腔積氣找不到臟器穿孔的證據,這類的腹腔積氣被稱為自發性腹腔積氣。目前自發性腹腔積氣的處理對外科來說,還是處於進退兩難的選擇。我們這裡報告一位發燒及腹痛的30歲女性,經X光發現腹腔積氣照會外科行剖腹探查手術,但沒發現任何臟器穿孔之證據。

關鍵字

腹腔積氣 穿孔 剖腹探查

並列摘要


Pneumoperitoneum is almost always interpreted as evidence of visceral perforation and is an indication for immediate surgical intervention. Spontaneous, nonsurgical or idiopathic pneumoperitoneum indicates a condition in which evidence of visceral perforation cannot be found even with radiological evidence of pneumoperitoneum. Spontaneous pneumoperitoneum has been reported in 10% of all cases and is a surgical dilemma which requires proper assessment with a thorough history and physical examination. We report a 30-year-old woman suffered abdominal pain and fever with radiographically proven pneumoperitoneum, but no evidence of visceral pathology was detected intraoperatively.

並列關鍵字

pneumoperitoneum perforation laparotomy

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