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超声诊断膈下脓肿与十二指肠溃疡穿孔之间的小瘘管相通

Sonographic diagnosis of a small fistulous communication between a subphrenic abscess and a perforated duodenal ulcer.

作者信息

Chau W K, Chan S C

机构信息

Department of Medicine, Central Clinic and Hospital, 77 Chung-Hsiao East Road, Section 4, Taipei, Taiwan.

出版信息

J Clin Ultrasound. 2000 Mar;28(3):153-6. doi: 10.1002/(sici)1097-0096(200003/04)28:3<153::aid-jcu10>3.0.co;2-x.

DOI:10.1002/(sici)1097-0096(200003/04)28:3<153::aid-jcu10>3.0.co;2-x
PMID:10679705
Abstract

We report a case of a fistula between a subphrenic abscess and a perforated duodenal ulcer diagnosed by sonography and confirmed by CT. The sonographic findings included a subphrenic fluid collection connected to the anterior aspect of the superior duodenum by a nonpulsatile, anechoic tubular lesion. Manual compression of the upper epigastrium resulted in movement of echogenic debris from the antrum and superior duodenum through the fistulous tract into the abscess.

摘要

我们报告一例经超声诊断并经CT证实的膈下脓肿与十二指肠穿孔之间的瘘管病例。超声检查结果包括膈下液性聚集区通过一个无搏动的无回声管状病变与十二指肠上部的前侧相连。对上腹部进行手动按压时，可见回声性碎屑从胃窦和十二指肠上部通过瘘管进入脓肿。

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