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    題名: Mutation analysis of thyroid peroxidase gene in Chinese patients with total iodide organification defect: Identification of five novel mutations
    作者: Wu, JY;Shu, SG;Yang, CF;Lee, CC;Tsai, FJ
    貢獻者: 附設醫院基因醫學部;China Med Coll Hosp, Dept Med Genet, Taichung 404, Taiwan;China Med Coll Hosp, Dept Med Res, Taichung 404, Taiwan;Taichung Vet Gen Hosp, Dept Pediat, Taichung, Taiwan
    日期: 2002
    上傳時間: 2010-09-24 14:45:32 (UTC+8)
    出版者: SOC ENDOCRINOLOGY
    摘要: Background: Tubo-ovarian abscess (TOA), a serious complication of pelvic inflammatory disease, often require the antibiotic administration, surgical resection or the transvaginal aspiration. Pneumoperitoneum is often associated with the bowel perforation. We reported one case with TOA and pneumoperitoneum that have been mistaken for a perforated bowel with concomitant adnexal mass. Case: A 30-year-old diabetic Chinese woman was transferred for diffused abdominal pain, mild fever, nausea. and low-grade fever for 5 days. The sonography revealed a 5-cm adnexal mass. The chest X-rays revealed the pneumoperitoneum. Under the impression of bowel perforation and concomitant adnexal cyst, the emergent laparotomy was performed and the TOA was resected. No evidence of gastrointestinal perforation was present. Culture studies showed Escherichia coli without other bacteria flora. The postoperative course was uneventful. Conclusion: We concluded that, beside the bowel perforation, TOA should be considered when a diabetic woman presents with pneumoperitoneum and adnexal mass.
    關聯: JOURNAL OF ENDOCRINOLOGY 172(3):627-635
    顯示於類別:[台中附設醫院] 期刊論文

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