A case of primary peritonitis |
Jae Song Kim1, Jung Sang Oh1, Seockoo Bai1, Dong Gwan Han1, Seung Kock Son2, Eui Ho Hwang2 |
1Department of Pediatrics, Yonsei University College of Medicins 2Department of Surgery,Yonsei University College of Medicine Seoul,Korea |
原發性腹膜炎 1症例 |
金在松1, 吳正相1, 裴錯救1, 韓東觀1, 孫承國2, 黃毅活2 |
1延世大學校 醫科大學 小兒科學敎室 小兒科學敎室 2延世大學校 醫科大學 外科學敎室 |
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Abstract |
A 2 month old male infant was admitted to Severance hospital due to bile stained vomiting; and abdominal distention for 2 days via emergency room. On physical examination, acutely ill appearance with lethargy, subnormal temperature, sunken fontanel, dry mouth, coated tongue, abdominal distention, and absent bowel sounds were noted and clinical impression could not be ruled out paralytic ileus due to sepsis. On the radiologic finnings of flat and upright abdomen, gaseous distention of small and large bowels and multiple air-fluid levels were noted. And
barium enema study revealed normal findings. The operation was performed and pus of intra-abdominalcavity was noted without any evidence of perforation or abscess of intra abdominal organs. Peptostreptococcus productus was isolated from the pus culture as the causative pathogenic organism. After operation, wound infection, wound dehiscence, and fecal fistula were complicated, but on discharge the complicated lesions were almost healed.
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