中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/29110
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    CMUR > China Medical University Hospital > Jurnal articles >  Item 310903500/29110
    Please use this identifier to cite or link to this item: http://ir.cmu.edu.tw/ir/handle/310903500/29110


    Title: Texture analysis of breast tumors on sonograms
    Authors: Chen, DR;Chang, RF;Huang, YL;Chou, YH;Tiu, CM;Tsai, PP
    Contributors: 附設醫院外科部;China Med Coll & Hosp, Dept Gen Surg, Taichung, Taiwan
    Date: 2000
    Issue Date: 2010-09-24 14:21:59 (UTC+8)
    Publisher: W B SAUNDERS CO
    Abstract: We report a case of ruptured stercoral ulceration due to chronic constipation which is caused by rectal carcinoma. This case suffered from difficulty of stool passage for 5 months. Periumbilical pain and current-jelly stool were experienced before his admission. Physical examination revealed diffuse abdominal rebounding pain and laboratory data showed leukocytosis. Computed tomography demonstrated marked dilatation of the sigmoid colon with stool impaction due to neoplastic growth in the rectosigmoid junction. Thickening and edematous change of the colonic wall were noted. There was amorphous material with gas in the mesocolon, which indicated fecal peritonitis. Emergent operation with Hartman's procedure and left colostomy was performed. Diffuse pressure gangrene of the sigmoid colon wall with a perforating hole was identified. Pathologically, the resected colon specimen showed non-specific acute and chronic inflammatory change. The perforating hole was surrounded by a necrotic border of ulcerative mucosa. After the operation, pelvic drainage was undertaken for 1 month and then the patient was discharged uneventfully.
    Relation: SEMINARS IN ULTRASOUND CT AND MRI 21(4):308-316
    Appears in Collections:[China Medical University Hospital] Jurnal articles

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