Tubo-Ovarian Abscess Presenting as Pneumoperitoneum

中國醫藥大學機構典藏 China Medical University Repository, Taiwan > 中醫學院 > 中醫學系暨碩博班 > 期刊論文 > Item 310903500/5569

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题名:	Tubo-Ovarian Abscess Presenting as Pneumoperitoneum
作者:	(Chi-Chen Chang);謝耀元*;(Horng-Der Tsai);林正介(Cheng-Chieh Lin)
贡献者:	中醫學院中醫學系學士班中醫內科學科
关键词:	Diabetes;E. coli;pneumoperitoneum;tubo-ovarian abscess
日期:	2002-01
上传时间:	2009-08-24 14:50:10 (UTC+8)
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 ASSISTED REPRODUCTION AND GENETICS 19(1 )42 ~43
显示于类别:	[中醫學系暨碩博班] 期刊論文

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