Acute Pancreatitis With Pulmonary Embolism: A

Size: px
Start display at page:

Download "Acute Pancreatitis With Pulmonary Embolism: A"

Transcription

1 Kuo-Chang Sung et al. Acute Pancreatitis With Pulmonary Embolism: A Case Report Kuo-Chang Sung 1, Chien-Chin Hsu 1 Abstract Acute pancreatic inflammation is associated with systemic hypercoagulability, which increase the risk of peripancreatic vascular thrombosis. Pulmonary thrombosis is a rare complication of acute pancreatitis, and few cases have been reported. In this study, we report a case of acute pancreatitis with pulmonary embolism. A 76-year-old woman presented at the emergency department with acute upper abdominal pain and syncope. Computed tomographic scans of her chest and abdomen revealed pulmonary embolism and pancreatitis. We discuss the pathogenesis and management of pulmonary thrombosis complicating acute pancreatitis. Familiarity with this complication can aid its early diagnosis and treatment, and prevent pulmonary embolism. Key Words: acute pancreatitis, pulmonary embolism, vascular thrombosis, epigastric pain Introduction A Pulmonary embolism (PE) is a blockage of a main artery of a lung or one of its branches by a substance that has traveled from elsewhere in the body through the bloodstream. 3,4 It most commonly results from a blood clot in the deep veins of the legs or pelvis that breaks off and migrates to the lung, through a process termed venous thromboembolism. 3 A small proportion of cases are caused by the embolization of air, fat, talc (in the drugs of intravenous drug abusers), or amniotic fluid. The reported mortality rate of untreated PE is 26%. 3 Acute pancreatitis is a sudden inflammation of the pancreas, which is associated with severe complications and a high mortality rate. The complication of acute pancreatitis can be systemic or locoregional. 1,2 Systemic complications include acute respiratory distress syndrome, multiple organ dysfunction syndrome, disseminated intravascular coagulation, hypocalcemia, hyperglycemia, and insulin dependent diabetes mellitus. 1 Locoregional complications include pancreatic pseudocyst, phlegmon, or abscess formation; splenic artery pseudoaneurysms; hemorrhage from erosions into the splenic artery and vein; and thrombosis of the splenic vein, superior mesenteric vein, and portal veins. 1 Pulmonary thrombosis is a rare complication of acute pancreatitis, and few cases have been reported. 1-4 In this study, we report a rare case of pulmonary thrombosis complicating pancreatitis, and discuss its pathogenesis and management. Awareness of this rare complication can facilitate its early diagnosis and treatment. Correspondence: Dr. Kuo-Chang Sung Emergency Department, Chi Mei Medical Center; 901, Chunghua Road, Yungkang District, Tainan City 710, Taiwan (R.O.C.) Tel: ext ; Fax: ; guojhang@gmail.com Emergency Department, Chi Mei Medical Center, Tainan City, Taiwan 1 90

2 Acute pancreatitis with pulmonary embolism Case report A 76 -year-old woman with a history of hypertension and rheumatoid arthritis was admitted to an emergency department because of syncope. She recalled experiencing epigastric pain before falling and losing consciousness. A family member stated that she had experienced shortness of breath and palpitations but had no history of syncope. She did not complain of chest pain, cold sweats, or radiating pain in the shoulder. She was a non-smoker, did not consume alcohol, and had no history of gallstone or peptic ulcer disease. Her vital signs were stable on arrival, with a Glasgow Coma Scale score of 15/15. Her temperature was 36 C, breathing rate 16 breaths per minute, heart rate 75 beats per minute, and blood pressure 141/82 mmhg. Physical examination revealed tenderness in the epigastrium, but no rebound tenderness. Cardiac examination revealed a regular heart beat without pathological murmur. There was no clinical evidence of deep venous thrombosis. The results from laboratory evaluations were as follows: white blood cells /L, red blood cells /L, hemoglobin 101 g/ L, platelets /L, blood lipase 439 U/L, alanine aminotransferase 12 U/L, total bilirubin 11.7 μmol/l, lactate dehydrogenase 417 U/L, serum creatinine mmol/l, random blood glucose 10.8 mmol/l, and serum lactate 0.27 mmol/l. The result from a plasma dimerized plasmin fragment D (D-dimer) assay was 7636 μg/l. A contrast enhanced computed tomographic (CT) scan of the patient s chest was arranged because of progressive dyspnea and suspicion of pulmonary embolism. A CT scan of her abdomen was simultaneously arranged to exclude intraabdominal infection. The CT scan of the abdomen revealed high density fluid collection and fat stranding over the right hepato-renal space, indicating pancreatitis (Figure 1). The CT scan of the chest revealed a bilateral pulmonary embolism (Figure 2). The patient was subsequently admitted to an intensive care unit (ICU). After admission to the ICU, intravenous Figure 1. CT scan of the abdomen revealing pancreatitis. High-density fluid collection and fat stranding over the right hepatorenal space (white arrows) Figure 2. CT scan of the chest revealing pulmonary embolism. Filling defects in the bilateral pulmonary arteries (white arrows). 91

3 Kuo-Chang Sung et al. antibiotics were administered to treat for intraabdominal infection. An anticoagulant agent was used to treat the pulmonary embolism: initially delteparin (low- molecular weight heparin) and subsequently oral warfarin. After 7 days of intravenous hydration and bowel rest, the patient began to tolerate enteral nutrition and was discharged after 10 days of hospitalization. Discussion Acute pancreatitis is an inflammatory disease characterized by a local tissue injury that can trigger a systemic inflammatory response. The vascular complications of pancreatitis are a major cause of morbidity and mortality, and are related to hemorrhage resulting from arterial erosion or pseudoaneurysms, ischemic complications, and venous complications, specifically splanchnic venous thrombosis and associated varices. 2 Previous studies have shown that pulmonary thrombosis is a rare complication of pancreatitis. 4 A case of pulmonary thrombosis resulting from thrombosis of the inferior vena cava in a patient with acute pancreatitis has also been reported. 9 The proposed mechanisms underlying systemic hypercoagulability and vascular thrombosis complicating pancreatitis include inflammatory cytokine activity, direct vasculitis, and release of pancreatic enzymes into the systemic circulation, resulting in endothelial injury and dysfunction. 5,6 Previous studies have proposed that the mechanism underlying the formation of a pulmonary thrombus is cyst communication with the pancreatic duct penetrating into the vessel, allowing pancreatic juice to enter the vessel and trigger the formation of a thrombus. 7-9 A pulmonary thromboembolism is a severe complication of vascular thrombosis in acute pancreatitis. Our patient exhibited the clinical features of pulmonary thrombosis, such as difficulty breathing and palpitations. In addition, she had an episode of syncope, which resulted from the pulmonary embolism. We based our diagnosis on the clinical observations, combined with the results from laboratory tests and imaging studies. Contrast venography, ultrasonography, contrast-enhanced CT scan, and magnetic resonance imaging (MRI) are all modalities with defined roles in the diagnosis of vascular thrombosis. 3 No clear guidelines exist on the appropriate therapy for patients with pulmonary thrombosis secondary to pancreatitis A strategy including a complete CT scan with contrast to evaluate the visceral vessels for signs of occlusion, and anticoagulation treatment, initially with heparin and subsequently with oral warfarin, is recommended. 10 In conclusion, a pulmonary thrombosis is a rare but potentially lethal complication of pancreatitis. If pancreatitis patients develop shortness of breath, chest pain, syncope, or palpitations, and vascular thrombosis is suspected, image evaluation by using CT and MRI is required. The early recognition and investigation of thromboembolism is imperative because accurate diagnosis and timely radiological intervention can reduce mortality. Early treatment with unfractionated heparin or low-molecular-weight heparin followed by oral warfarin is most commonly used in clinical practice. References 1. Mendelson RM, Anderson J, Marshall M, Ramsay D. Vascular complications of pancreatitis. ANZ J Surg 2005;75: Mallick IH, Winslet MC. Vascular complications of pancreatitis. Jop 2004;5: Zhang Q, Zhang QX, Tan XP, et al. Pulmonary embolism with acute pancreatitis: A case report and literature review. World J Gastroenterol 2012;18: Deiss R, Young P, Yeh J, Reicher S. Pulmonary embolism and acute pancreatitis: Case series and review. Turk J Gastroenterol 2014;25: Vollmar B, Menger M. Microcirculatory dysfunction in acute pancreatitis. Pancreatology 2003;3: Balthazar EJ. Complications of acute pancreatitis: clinical and CT evaluation. Radiol. Clin. North Am 2002;40: Ohta H, Hachiya T. A case of inferior vena cava thrombosis and pulmonary embolism secondary to 92

4 Acute pancreatitis with pulmonary embolism acute exacerbation of chronic pancreatitis: A rare finding in radionuclide venography. Ann Nucl Med 2002;16: Hanterdsith B. Fatal pulmonary thromboembolism due to inferior vena cava thrombosis. Ann Vasc Dis 2011;4: Vinod KV, Arun K, Nisar KK, Dutta TK. Inferior vena cava thrombosis: a rare complication of acute pancreatitis. JAPI 2014;62: Krummen DM, Cannova J, Schreiber H. Conservative management strategy for pancreatitis-associated mesenteric venous thrombosis. The American Surgeon 1996;62: Boley S, Kaleya R, Brandt L. Mesenteric venous thrombosis. Surg Clin N Am 1992;72: Gertsch P, Matthews J, Lerut J, et al. Acute thrombosis of the splanchnic veins. Arch Surg 1993;128:

5 宋國漳等 急性胰臟炎併發肺栓塞 : 病例報告 宋國漳 1 1, 許建清 摘要 急性胰臟炎與全身的高凝固性相關, 這會增加胰臟周圍血管內栓塞形成 然而, 肺栓塞是胰臟炎極少見的併發症, 到目前僅有少數病例被報導 我們提出一個急性胰臟炎併發肺栓塞的病例 一位七十六歲的女性來急診由於急性上腹痛, 後來發生短暫暈厥 胸部和腹部電腦斷層掃瞄發現肺栓塞和胰臟炎 我們簡短地討論胰臟炎引發肺栓塞的病理機轉及治療 熟稔這種併發症將有助於早期診斷 治療以及預防肺栓塞 關鍵詞 : 急性胰臟炎, 肺栓塞, 血管內栓塞, 上腹痛 通訊作者 : 宋國漳醫師 710 台南市永康區中華路 901 號 ; 奇美醫療財團法人奇美醫院急診醫學部電話 : 轉 57196; 傳真 : ; guojhang@gmail.com 1 奇美醫療財團法人奇美醫院急診醫學部 94

Spontaneous Thrombosis of a Large Superior Mesenteric Artery Pseudoaneurysm: report of an unusual case

Spontaneous Thrombosis of a Large Superior Mesenteric Artery Pseudoaneurysm: report of an unusual case 中華放射醫誌 Chin J Radiol 2009; 34: 22-225 22 Spontaneous Thrombosis of a Large Superior Mesenteric Artery Pseudoaneurysm: report of an unusual case Chih-Wei Wang Chih-Yung Yu Po-Jen Hsiao 2 Chang-Hsien Liu

More information

CT Finding of Renal Vein Invasion by Aggressive Renal Angiomyolipoma: a case report

CT Finding of Renal Vein Invasion by Aggressive Renal Angiomyolipoma: a case report 中華放射醫誌 Chin J Radiol 2006; 31: 261-265 261 CT Finding of Renal Vein Invasion by Aggressive Renal Angiomyolipoma: a case report I-Chang Lin 1 Chi-Jen Chen 1 Chia-Hsiang Lin 2 Jau-Chung Hwang 3 Department

More information

Artery Bypass Grafting

Artery Bypass Grafting Delayed tetraplegia after CABG surgery Acute Delayed-onset Tetraplegia after Coronary Artery Bypass Grafting Wei-Cheng Liu 1, Chin-Chen Chu 2, Yao-Tsung Lin 3, Chung-Hsi Hsing 2, Li-Kai Wang 2, Jen-Yin

More information

Jejunojejunal Intussusception Due to Intestinal Polypoid Lipomatosis: a case report

Jejunojejunal Intussusception Due to Intestinal Polypoid Lipomatosis: a case report 中華放射醫誌 Chin J Radiol 006; 31: 55-59 55 Jejunojejunal Intussusception Due to Intestinal Polypoid Lipomatosis: a case report Chia-Yang Hong 1 Wen-Sheng Tzeng Yu-Kang Chang 1 Reng-Hong Wu Chi-Chen Hou Department

More information

The Role of Herbal Medication in Poor TACE Response Hepatocellular Carcinoma:

The Role of Herbal Medication in Poor TACE Response Hepatocellular Carcinoma: DOI 10.3966/181020932017121504006 Case Report The Role of Herbal Medication in Poor TACE Response Hepatocellular Carcinoma: Case Report Chao-Hua Fang 1, Chin-Chuan Tsai 1,2, Chien-Lin Chen 3, Jiann-Hwa

More information

Breast Metastasis and Ovary Metastasis of Primary Colon Cancer

Breast Metastasis and Ovary Metastasis of Primary Colon Cancer 台灣癌症醫誌 (J. Cancer Res. Pract.) 2(), 330-33, 2015 DOI: 10.6323/JCRP.2015.2..9 Case Report Such extended oncological growth arising from a primary colon cancer is extremely rare, with a poor prognosis because

More information

Trousseau's Syndrome Associated with Pancreatic Cancer

Trousseau's Syndrome Associated with Pancreatic Cancer 台灣癌症醫誌 (J. Cancer Res. Pract.) 2(1), 56-60, 2015 DOI: 10.6323/JCRP.2015.2.1.07 Case Report recognized as a prothrombotic state of the human body. Trousseau's syndrome has been applied to various clinical

More information

Suprasellar Metastasis of Pulmonary Adenocarcinoma

Suprasellar Metastasis of Pulmonary Adenocarcinoma 中華癌醫會誌 (J. Chinese Oncol. Soc.) 25(6), 454-460, 2009 Case Report journal homepage:www.cos.org.tw/web/index.asp Suprasellar Metastasis of Pulmonary Adenocarcinoma Jen-Ho Tseng 1, Sheng-Huang Hsiao 1, Jung-Mao

More information

台灣癌症醫誌 (J. Cancer Res. Pract.) 2(2), , journal homepage:

台灣癌症醫誌 (J. Cancer Res. Pract.) 2(2), , journal homepage: 台灣癌症醫誌 (J. Cancer Res. Pract.) 2(2), 162-167, 2015 DOI: 10.6323/JCRP.2015.2.2.08 Case Report journal homepage:www.cos.org.tw/web/index.asp Spinal Extradural Angiolipomas Chih-Hao Tien*, Yu-Ning Chen, Liang-Chao

More information

CASE REPORT CECT EVALUATION OF AN ISOLATED LONG SEGMENT IVC THROMBUS IN A PATIENT WITH ACUTE ON CHRONIC PANCREATITIS: A CASE REPORT

CASE REPORT CECT EVALUATION OF AN ISOLATED LONG SEGMENT IVC THROMBUS IN A PATIENT WITH ACUTE ON CHRONIC PANCREATITIS: A CASE REPORT CECT EVALUATION OF AN ISOLATED LONG SEGMENT IVC THROMBUS IN A PATIENT WITH ACUTE ON CHRONIC PANCREATITIS: A Pronami Borah 1, Biswajit Borah 2, Kangkana Mahanta 3, Rudra K. Gogoi 4 HOW TO CITE THIS ARTICLE:

More information

CHICKEN POX ASSOCIATED THROMBOCYTOPENIA COMPLICATED WITH INTRACRANIAL HEMORRHAGE IN ADULT - REPORT OF A CASE

CHICKEN POX ASSOCIATED THROMBOCYTOPENIA COMPLICATED WITH INTRACRANIAL HEMORRHAGE IN ADULT - REPORT OF A CASE Shih-Lun Teng et al. CHICKEN POX ASSOCIATED THROMBOCYTOPENIA COMPLICATED WITH INTRACRANIAL HEMORRHAGE IN ADULT - REPORT OF A CASE Shih-Lun Teng 1, Cheng-Chang Wu 1, Teck-Koon Tan 1, Chin-Kun Tsai 1, Wing-Him

More information

Calvarial Ewing s Sarcoma Presented with Increased Intracranial Pressure Signs in an 11-year-old Child

Calvarial Ewing s Sarcoma Presented with Increased Intracranial Pressure Signs in an 11-year-old Child 台灣癌症醫誌 (J. Cancer Res. Pract.) 26(2),72-76, 2010 Case Report journal homepage:www.cos.org.tw/web/index.asp Calvarial Ewing s Sarcoma Presented with Increased Intracranial Pressure Signs in an 11-year-old

More information

Acute anterior myocardial infarction after being struck on the chest by a soccer ball

Acute anterior myocardial infarction after being struck on the chest by a soccer ball Hong Kong Journal of Emergency Medicine Acute anterior myocardial infarction after being struck on the chest by a soccer ball 胸部被足球撞擊而引致急性前壁心肌梗塞 RE Altekin, A Er, C Oktay, AO Baktir, A Yanikoglu, AS Yalcinkaya,

More information

Huge Coronary Artery Aneurysm Demonstrated by 64-slice MDCT Coronary Angiography: a case report

Huge Coronary Artery Aneurysm Demonstrated by 64-slice MDCT Coronary Angiography: a case report 中華放射醫誌 Chin J Radiol 2007; 32: 205-209 205 Huge Coronary Artery Aneurysm Demonstrated by 64-slice MDCT Coronary Angiography: a case report I-Ha Lao Chia-Hui Chen Wen-Sheng Tzeng Yen-Jen Wang 2 Mei-Chun

More information

Emphysematous Cystitis in a Diabetic patient: A case report

Emphysematous Cystitis in a Diabetic patient: A case report DOI 0.3966/80209320806602003 Case Report Emphysematous Cystitis in a Diabetic patient: A case report Kuei-Shian Chang, Min-Po Ho,*, Yuan-Hui Wu,2, Kuang-Chau Tsai ABSTRACT Emphysematous cystitis is a rare

More information

Gas-Forming Pyogenic Liver Abscess: A Case Report

Gas-Forming Pyogenic Liver Abscess: A Case Report DOI 10.3966/181020932017091503005 Case Report Gas-Forming Pyogenic Liver Abscess: A Case Report Yu-Chuang Chu 1, Yuan-Hui Wu 1,2, Kuang-Chao Tsai 1, Min-Po Ho 1,* ABSTRACT Gas-forming pyogenic liver abscess

More information

Synchronous Gastric Cancer and Hepatocellular Carcinoma

Synchronous Gastric Cancer and Hepatocellular Carcinoma 台灣癌症醫誌 (J. Cancer Res. Pract.) (3), 226-232, 204 DOI: 0.6323/JCRP.204..3.06 Case Report journal homepage:www.cos.org.tw/web/index.asp Synchronous Gastric Cancer and Hepatocellular Carcinoma Zi-Ren Hu,

More information

Surgical Ligation of Patent Ductus Arteriosus in Extremely Low Birth Weight Premature Neonates

Surgical Ligation of Patent Ductus Arteriosus in Extremely Low Birth Weight Premature Neonates Original Article Acta Cardiol Sin 005;1:0 4 Congenital Heart Disease Surgical Ligation of Patent Ductus Arteriosus in Extremely Low Birth Weight Premature Neonates Haw-Kwei Hwang, 1 Ming-Ren Chen, 1,4

More information

Metastatic Renal Tumor Originating from Hepatocellular Carcinoma: a case report

Metastatic Renal Tumor Originating from Hepatocellular Carcinoma: a case report 中華放射醫誌 Chin J Radiol 2009; 34: 125-130 125 Metastatic Renal Tumor Originating from Hepatocellular Carcinoma: a case report Chun-Han Lin 1 Jen-I Hwang 1 Siu-Wan Hung 1 Hao-Chung Ho 2 Po-Cheung Kwan 3 Clayton

More information

Melioidosis Presenting as Splenic Abscesses and Suspected Septic Pulmonary Embolism A Case Report

Melioidosis Presenting as Splenic Abscesses and Suspected Septic Pulmonary Embolism A Case Report 280 Melioidosis Presenting as Splenic Abscesses and Suspected Septic Pulmonary Embolism A Case Report Tz-Yan Chang*,*****, Yuan-Ti Lee**,***, Tzu-Chin Wu*,***, Hsu-Chung Liu***,**** A 49-year-old man with

More information

Inflammatory Myofibroblastic Tumor Mimicking Invasive Thymoma: a case report

Inflammatory Myofibroblastic Tumor Mimicking Invasive Thymoma: a case report 中華放射醫誌 Chin J Radiol 2009; 34: 107-111 107 Inflammatory Myofibroblastic Tumor Mimicking Invasive Thymoma: a case report Wei-Ti Huang Chin-Yin Sheu Fei-Shih Yang Department of Radiology, Mackay Memorial

More information

Case Conference. Basic Information. Chief Complaint PMH PDH. 2013/06/22 台南奇美醫院 Reporter: 黃鈺芬醫師. Gender: female Age: 68 y/o Attitude: philosophical

Case Conference. Basic Information. Chief Complaint PMH PDH. 2013/06/22 台南奇美醫院 Reporter: 黃鈺芬醫師. Gender: female Age: 68 y/o Attitude: philosophical Case Conference Basic Information 2013/06/22 台南奇美醫院 Reporter: 黃鈺芬醫師 Gender: female Age: 68 y/o Attitude: philosophical Chief Complaint Pus discharge over upper anterior area for several days PMH PDH Hypertension

More information

Radiation-Induced Osteosarcoma of the Temporal Bone

Radiation-Induced Osteosarcoma of the Temporal Bone 台灣癌症醫誌 (J. Cancer Res. Pract.) 28(3),134-139, 2012 Case Report journal homepage:www.cos.org.tw/web/index.asp Radiation-Induced Osteosarcoma of the Temporal Bone Yung-Hsin Hsu 1,4, Shih-Ming Jung 5, Wen-Cheng

More information

Aberrant Internal Carotid Artery in the Middle Ear: a case report

Aberrant Internal Carotid Artery in the Middle Ear: a case report 中華放射醫誌 Chin J Radiol 2006; 31: 303-307 303 Aberrant Internal Carotid Artery in the Middle Ear: a case report Rayleigh Ping-Ying Chiang 1,3 Chia-Jung Lee 1 Hsing-Mei Wu 1 Liang-Kuang Chen 2,3 Department

More information

Amiodarone Induced Pneumonitis: a case report

Amiodarone Induced Pneumonitis: a case report 中華放射醫誌 Chin J Radiol 006; 31: 43-47 43 Amiodarone Induced Pneumonitis: a case report Tzu-Chieh Cheng 1 Andy Shau-Bin Chou Pau-Yuan Chang Chau-Chin Lee Chin-Ming Jeng 1 Department of Radiology 1, Cathay

More information

Pituitary Apoplexy with Subarachnoid Hemorrhage and Intraventricular Hemorrhage: a Rare Case Report

Pituitary Apoplexy with Subarachnoid Hemorrhage and Intraventricular Hemorrhage: a Rare Case Report DOI 10.3966/181020932017061502004 Case Report Pituitary Apoplexy with Subarachnoid Hemorrhage and Intraventricular Hemorrhage: a Rare Case Report Hsin-Hung Wu 1, Jiann-Her Lin 2,3, Cheng-Ta Hsieh 1,4,*

More information

Use of evidence-based medicine to choose contrast enhancing agents (iso-osmolar versus low-osmolar contrast media) for CT

Use of evidence-based medicine to choose contrast enhancing agents (iso-osmolar versus low-osmolar contrast media) for CT . 弘光學報 64 期. Use of evidence-based medicine to choose contrast enhancing agents (iso-osmolar versus low-osmolar contrast media) for CT Ping-Liang Chen Yuan-Lin Lee Hui-Luu Zhan Hung-Chih Lai * Department

More information

Cytomegalovirus Colitis in an Immunocompetent Patient: Report of a Case and Review of the Literature

Cytomegalovirus Colitis in an Immunocompetent Patient: Report of a Case and Review of the Literature J Soc Colon Rectal Surgeon (Taiwan) March 2008 Case Report Cytomegalovirus Colitis in an Immunocompetent Patient: Report of a Case and Review of the Literature Mong-Wei Lin Jin-Tung Liang King-Jen Chang

More information

Right Aortic Arch with Mirror-Image Branching in an Asymptomatic Adult: a rare case demonstrated with 64-detector computed tomography

Right Aortic Arch with Mirror-Image Branching in an Asymptomatic Adult: a rare case demonstrated with 64-detector computed tomography 中華放射醫誌 Chin J Radiol 2008; 33: 87-9 87 Right Aortic Arch with Mirror-Image Branching in an Asymptomatic Adult: a rare case demonstrated with 64-detector computed tomography Shi-Zuo Liu Soa-Min Hsu Hui-Lun

More information

Nasal-type Extranodal Natural Killer (NK)/T-Cell Lymphoma Presenting with Primary Mucocutaneous Lesions Mimicking Behcet Disease

Nasal-type Extranodal Natural Killer (NK)/T-Cell Lymphoma Presenting with Primary Mucocutaneous Lesions Mimicking Behcet Disease 台灣癌症醫誌 (J. Cancer Res. Pract.) 27(3),133-137, 2011 Case Report journal homepage:www.cos.org.tw/web/index.asp Nasal-type Extranodal Natural Killer (NK)/T-Cell Lymphoma Presenting with Primary Mucocutaneous

More information

Murine Typhus with Pneumonitis and Pleuropericarditis:A Case Report

Murine Typhus with Pneumonitis and Pleuropericarditis:A Case Report Murine Typhus with Pneumonitis and Pleuropericarditis:A Case Report Pao-Tsuan Kao1, Chun-Ming Lee1,4,5, Chang-Pan Liu1,3,5, Hui-Chun Lin2, and Hsiang-Kuang Tseng1 1Division of Infectious Diseases, 2Division

More information

Brain Tumor-induced Mania in Schizophrenia

Brain Tumor-induced Mania in Schizophrenia 236 Taiwanese Journal of Psychiatry Vol. 23 No. 3 2009 Case Report Brain Tumor-induced Mania in Schizophrenia Po-Han Chou, M.D., Lieh-Yung Ping, M.D., M.P.H. 2,3, Hong-Shiow Yeh, M.D., M.P.H. 2,4, Chin-Hong

More information

在一所巿區急症室內評估分流心電圖方案的角色

在一所巿區急症室內評估分流心電圖方案的角色 Hong Kong Journal of Emergency Medicine Evaluating the role of a triage electrocardiogram protocol at an urban emergency department 在一所巿區急症室內評估分流心電圖方案的角色 BL Lim 林明良, A Vasu, GH Lim 林義賢 Objective: Our emergency

More information

MR Features of Posterior Spinal Epidural Cavernous Hemangioma: A Case Report

MR Features of Posterior Spinal Epidural Cavernous Hemangioma: A Case Report 中華放射醫誌 Chin J Radiol 2006; 31: 127-131 127 MR Features of Posterior Spinal Epidural Cavernous Hemangioma: A Case Report Nan-Han Leu 1 Sandy Cheng-Yu Chen 2 Jung-Mao Chou 3 Department of Radiology 1, Department

More information

Colon Obstruction due to Anticoagulant Induced Intramural Hematoma

Colon Obstruction due to Anticoagulant Induced Intramural Hematoma J Soc Colon Rectal Surgeon (Taiwan) December 2007 Case Report Colon Obstruction due to Anticoagulant Induced Intramural Hematoma Chih-Chien Chin 3 Chien-Yuh Yeh 2 Yi-Hung Kuo Wen-Shih Huang 3 Chung-Hung

More information

Pegylated interferon-alpha induced thrombotic thrombocytopenic purpura: A Case Report

Pegylated interferon-alpha induced thrombotic thrombocytopenic purpura: A Case Report Case Report Pegylated interferon-alpha induced thrombotic thrombocytopenic purpura: A Case Report Kun-Chung Chen 1, Jia-Liang Wan 2, and Wang-Sheng Ko 3* Department of Internal Medicine 1, Division of

More information

Does fluorescein-induced anaphylactic shock trigger late drug-eluting stent thrombosis and cause lethal ST-elevation myocardial infarction?

Does fluorescein-induced anaphylactic shock trigger late drug-eluting stent thrombosis and cause lethal ST-elevation myocardial infarction? Bu-Yuan Hsiao et al. Does fluorescein-induced anaphylactic shock trigger late drug-eluting stent thrombosis and cause lethal ST-elevation myocardial infarction? Bu-Yuan Hsiao 1, Tien-Ping Tsao 1, Wei-Hsian

More information

IgG4-associated Cholangitis Mimicking Cholangiocarcinoma Report of A Case

IgG4-associated Cholangitis Mimicking Cholangiocarcinoma Report of A Case 內科學誌 203:24:37-4 IgG4-associated Cholangitis Mimicking Cholangiocarcinoma Report of A Case Hsien-Ping Lin, Kwok-Ting Lin, Wei-Chi Ho, Chi-Bing Chen, Chen-Yun Kuo 2, and Yu-Chiang Lin 3 Department of Internal

More information

Radial Arteriovenous Fistula: A Rare Complication of Coronary Angiography by Transradial Approach

Radial Arteriovenous Fistula: A Rare Complication of Coronary Angiography by Transradial Approach Case Reports Acta Cardiol Sin 006;:34 8 Radial Arteriovenous Fistula: A Rare Complication of Coronary Angiography by Transradial Approach Wei-Lian Phan, 1 Lung-Chun Lin, Chuen-Den Tseng and Fu-Tien Chiang,3

More information

A Sustainable Hospitalcommunity. Programme for Orthopaedic Patients with Chronic Pain Syndrome

A Sustainable Hospitalcommunity. Programme for Orthopaedic Patients with Chronic Pain Syndrome A Sustainable Hospitalcommunity Partnership Programme for Orthopaedic Patients with Chronic Pain Syndrome Cheung KK 1 Chan PH 1 Chow YY 1 Hung ATF 2 Ho JPS 2 Tse A 1 Chan I 1 Ip A 1 Wong C 1 Fung C 1 Kwok

More information

Diagnosis of A large Left Paraduodenal Hernia: a case report

Diagnosis of A large Left Paraduodenal Hernia: a case report 中華放射醫誌 Chin J Radiol 2004; 29: 97-202 97 Diagnosis of A large Left Paraduodenal Hernia: a case report WEI-CHING LIN YUNG-FANG CHEN HSEIN-JAR CHIANG 2 WU-CHUNG SHEN Department of Radiology, China Medical

More information

Intimal Sarcoma Mimicking Acute Pulmonary Embolism

Intimal Sarcoma Mimicking Acute Pulmonary Embolism 台灣癌症醫誌 (J. Cancer Res. Pract.) 28(1),35-40, 2012 Case Report journal homepage:www.cos.org.tw/web/index.asp Intimal Sarcoma Mimicking Acute Pulmonary Embolism Shih-Feng Cho 1, Chao-Sung Chang 1,2, Sheng-Fung

More information

Resuscitation & Intensive Care Med 2016;1: Kao Ying, Szu-Kai Hsu, Chih-Ta Huang. Abstract. Discussion

Resuscitation & Intensive Care Med 2016;1: Kao Ying, Szu-Kai Hsu, Chih-Ta Huang. Abstract. Discussion Kao Ying et al. Bone flap malunion and resorption after cranioplasty with bioabsorbable implants in an adult drug abuser Kao Ying, Szu-Kai Hsu, Chih-Ta Huang Abstract Bioabsorbable plates and screws have

More information

Computed Tomographic Findings of an Abdominal Cocoon withintestinal obstruction: a case report

Computed Tomographic Findings of an Abdominal Cocoon withintestinal obstruction: a case report 中華放射醫誌 Chin J Radiol 200; 35: 6-65 6 Computed Tomographic Findings of an Abdominal Cocoon withintestinal obstruction: a case report Tain Lee Ming-Der Lee 2 Ming-Hsiean Hsu Shun-An Lee Usman Malik Yuan-Li

More information

Anterior Cranial Fossa Hemorrhagic Epidermoid Cyst: CT and MRI Findings

Anterior Cranial Fossa Hemorrhagic Epidermoid Cyst: CT and MRI Findings 中華放射醫誌 Chin J Radiol 2008; 33: 8-85 8 Anterior Cranial Fossa Hemorrhagic Epidermoid Cyst: CT and MRI Findings Chien-Cheng Chen Shu-Hang Ng Ho-Fai Wong Jiun-Jie Wang 2 Yao-Liang Chen Sheung-Fat Ko Mun-Ching

More information

認識非小細胞肺癌 為肺癌患者傳送呼吸希望. Understanding Non-Small Cell Lung Cancer. Sending a breath of hope to all of those touched by lung cancer

認識非小細胞肺癌 為肺癌患者傳送呼吸希望. Understanding Non-Small Cell Lung Cancer. Sending a breath of hope to all of those touched by lung cancer 認識非小細胞肺癌 Understanding Non-Small Cell Lung Cancer 為肺癌患者傳送呼吸希望 Sending a breath of hope to all of those touched by lung cancer 呼吸希望 對於肺癌患者來說, 通往疾病緩解之路艱辛漫長 對於他們, 每次呼吸都是如此珍貴 如此難得, 每次呼吸都是生存的希望 醫學昌明, 使得患者可以與肺癌共存,

More information

Acute Myocardial Injury Mimicking an ST-Elevation Myocardial Infarction Secondary to Carbon Monoxide Poisoning

Acute Myocardial Injury Mimicking an ST-Elevation Myocardial Infarction Secondary to Carbon Monoxide Poisoning Case Reports Acta Cardiol Sin 2006;22:229 33 Acute Myocardial Injury Mimicking an ST-Elevation Myocardial Infarction Secondary to Carbon Monoxide Poisoning Yi-Chung Shih, 1,2 Chia-Ti Tsai 2 and Fu-Tien

More information

Surgical Management of Complete Rectal Prolapse. Purpose. To review our experience in the surgical management of complete

Surgical Management of Complete Rectal Prolapse. Purpose. To review our experience in the surgical management of complete J Soc Colon Rectal Surgeon (Taiwan) December 2007 Original Article Surgical Management of Complete Rectal Prolapse Chung-Chi Huang Hong-Hwa Chen Shung-Eing Lin Chia-Lo Chang Chien-Chang Lu Wang-Hseng Hu

More information

Rhinocerebral Mucormycosis in Diabetes:A Case Report. Ya-Chun Hsiao, Kun-Wu Tsan**, and Tao-Yeuan Wang* Abstract

Rhinocerebral Mucormycosis in Diabetes:A Case Report. Ya-Chun Hsiao, Kun-Wu Tsan**, and Tao-Yeuan Wang* Abstract Rhinocerebral Mucormycosis in Diabetes:A Case Report Ya-Chun Hsiao, Kun-Wu Tsan**, and Tao-Yeuan Wang* Division of Endocrinology and Metabolism, Department of Internal Medicine; Mackay Memorial Hospital,

More information

Preoperative MR Diagnosis Of Spinal Subdural Empyema-Secondary to Osteomyelitis and Epidural Empyema

Preoperative MR Diagnosis Of Spinal Subdural Empyema-Secondary to Osteomyelitis and Epidural Empyema 中華放射醫誌 Chin J Radiol 2006; 3: 209-24 209 Preoperative MR Diagnosis Of Spinal Subdural Empyema-Secondary to Osteomyelitis and Epidural Empyema Ming-Shiang Yang,2 Clayton Chi-Chang Chen 2 Tzu-Hsien Yang

More information

財團法人明日醫學基金會研究計畫申請書. Yao-Chun Hsu 高雄市燕巢區義大路 1 號 1 月 1 日起至 101 年 12 月 31 日止

財團法人明日醫學基金會研究計畫申請書. Yao-Chun Hsu 高雄市燕巢區義大路 1 號 1 月 1 日起至 101 年 12 月 31 日止 財團法人明日醫學基金會研究計畫申請書 計畫名稱 ( 中文 ) 決定慢性 B 型肝炎嚴重急性發作預後的病毒相關因子 ( 英文 ) Viral factors in determining outcomes of chronic hepatitis B patients with severe acute exacerbation 計畫類別 個別型 整合型 計畫歸屬 基礎醫學 生物醫學 臨床醫學 資訊系統

More information

The epidemiology of patients with dizziness in an emergency department

The epidemiology of patients with dizziness in an emergency department Hong Kong Journal of Emergency Medicine The epidemiology of patients with dizziness in an emergency department 急症室頭暈病者的流行病學 JMY Lam 林美怡, WS Siu 蕭詠詩, TS Lam 林子森, NK Cheung 張乃光, CA Graham 簡家廉, TH Rainer

More information

Uncertainty of Measurement Application to Laboratory Medicine 鏡檢組 蔡雅雯 2014/09/09

Uncertainty of Measurement Application to Laboratory Medicine 鏡檢組 蔡雅雯 2014/09/09 Uncertainty of Measurement Application to Laboratory Medicine 鏡檢組 蔡雅雯 2014/09/09 Objectives Definitions Methodology Equation of Measurement Uncertainty Measurement Uncertainty Goal Examples Uncertainty

More information

家庭醫業 流行病學 臨床症狀 蘇子華 葉慶輝 家庭醫學與基層醫療第二十四卷第九期. 1 國軍左營總醫院家庭醫學科住院醫師 2 國軍左營總醫院家庭醫學科主任關鍵詞 :liver hemangioma, hepatic cavernous hemangioma,

家庭醫業 流行病學 臨床症狀 蘇子華 葉慶輝 家庭醫學與基層醫療第二十四卷第九期. 1 國軍左營總醫院家庭醫學科住院醫師 2 國軍左營總醫院家庭醫學科主任關鍵詞 :liver hemangioma, hepatic cavernous hemangioma, 蘇子華 1 葉慶輝 2 前言 4 8 3.5 流行病學 1.5~2 0.4% 7.3% 1 國軍左營總醫院家庭醫學科住院醫師 2 國軍左營總醫院家庭醫學科主任關鍵詞 :liver hemangioma, hepatic cavernous hemangioma, focal liver lesion, ultrasound 30-50 6 () 1 4 20 4-6 : 1 臨床症狀 331 1.

More information

Percutaneous Drainage of an Infected Biloma Secondary to Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma : Report of Two Cases

Percutaneous Drainage of an Infected Biloma Secondary to Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma : Report of Two Cases Percutaneous Drainage of an Infected Biloma Secondary to Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma : Report of Two Cases Yuh-Horng Lin 1, Ruey-Chang Lin 2, Lein-Rey Mo 2, Chien-Chung

More information

Smear Negative Tuberculosis in an 85-Year-Old Female Presenting with Body Weight Loss: A Case Report

Smear Negative Tuberculosis in an 85-Year-Old Female Presenting with Body Weight Loss: A Case Report [Case 臺灣老誌 Report] Smear Negative TB in an 85-Year-Old Female 第 7 卷第 3 期 Smear Negative Tuberculosis in an 85-Year-Old Female Presenting with Body Weight Loss: A Case Report Chang-Hung Chen 1, Horng-Ming

More information

Acute Thrombosis of Double Major Coronary Arteries Associated with Amphetamine Abuse

Acute Thrombosis of Double Major Coronary Arteries Associated with Amphetamine Abuse Case Reports Acta Cardiol Sin 2007;23:268 72 Acute Thrombosis of Double Major Coronary Arteries Associated with Amphetamine Abuse Wei-Ren Lan, Hung-I Yeh, Charles Jia-Yin Hou and Yu-San Chou Drug-induced

More information

Therapeutic Embolization of Anomalous Systemic Arterial Supply to the Normal Basal Segments of the Left Lower Lobe A Safe Alternative to Surgery

Therapeutic Embolization of Anomalous Systemic Arterial Supply to the Normal Basal Segments of the Left Lower Lobe A Safe Alternative to Surgery Case Report Therapeutic Embolization of Anomalous Systemic Artery Acta Cardiol Sin 2005;2:2 6 Therapeutic Embolization of Anomalous Systemic Arterial Supply to the Normal Basal Segments of the Left Lower

More information

Abstract. Introduction. Case presentation

Abstract. Introduction. Case presentation Ying-Jen Chang et al. Awake Laryngeal Mask Airway Intubation for Tracheal Stent Insertion in a Patient with Massive Tumor Invasion to trachea: a Case Report Ying-Jen Chang 1, Chia-Ming Chen 1, Kuo-Mao

More information

Esophageal Gastrointestinal Stromal Tumor Presenting as a Mediastinal Mass: a case report

Esophageal Gastrointestinal Stromal Tumor Presenting as a Mediastinal Mass: a case report 中華放射醫誌 Chin J Radiol 2005; 30: 289-293 289 Esophageal Gastrointestinal Stromal Tumor Presenting as a Mediastinal Mass: a case report YA-TING JAN CHIN-YIN SHEU FEI-SHIH YANG JON-KWAY HUANG Department of

More information

中文題目 : 消化性潰瘍合併幽門螺旋桿菌感染無法降低成人氣喘之發生 服務單位 : 台北市立聯合醫院陽明院區一般內科 消化內科 內科部

中文題目 : 消化性潰瘍合併幽門螺旋桿菌感染無法降低成人氣喘之發生 服務單位 : 台北市立聯合醫院陽明院區一般內科 消化內科 內科部 中文題目 : 消化性潰瘍合併幽門螺旋桿菌感染無法降低成人氣喘之發生 英文題目 :Peptic ulcer disease with Helicobacter pylori infection does not protect against adult asthma 作 1 者 : 張勝雄胡曉雲 2,3 服務單位 : 台北市立聯合醫院陽明院區一般內科 消化內科 內科部 1 國立陽明大學公共衛生學科暨研究所

More information

IMPLEMENTING THE CDC S COLORECTAL CANCER DEMONSTRATION PROGRAM:

IMPLEMENTING THE CDC S COLORECTAL CANCER DEMONSTRATION PROGRAM: IMPLEMENTING THE CDC S COLORECTAL CANCER SCREENING DEMONSTRATION PROGRAM: WISDOM FROM THE FIELD Rohan EA et al., Cancer 2013;119(15 suppl):2870-83 LEO CHAN 24 AUG 2013 BACKGROUND Colorectal Cancer (CRC)

More information

journal homepage: Keywords : gallbladder cancer, metastasis, muscle 1,2 *

journal homepage:  Keywords : gallbladder cancer, metastasis, muscle 1,2 * 台灣癌症醫誌 (J. Cancer Res. Pract.) 27(6),263-267, 2011 Case Report journal homepage:www.cos.org.tw/web/index.asp Skeletal Muscle Metastasis of Gallbladder Cancer Chia-Lin Chang 1, Su-Peng Yeh 1,2, Chang-Fang

More information

Brugada Syndrome in the Elderly in Taiwan Report of Two Cases

Brugada Syndrome in the Elderly in Taiwan Report of Two Cases Case Report Acta Cardiol Sin 2005;21:62 7 Brugada Syndrome in the Elderly in Taiwan Report of Two Cases Jyh-Ming Juang, Ling-Ping Lai, Jiunn-lee Lin and Fu-Tien Chiang Brugada syndrome is a potentially

More information

Central Neurogenic Hyperventilation in A Conscious Patient with Chronic Brain Inflammation

Central Neurogenic Hyperventilation in A Conscious Patient with Chronic Brain Inflammation 內科學誌 013:4:38-333 Central Neurogenic Hyperventilation in A Conscious Patient with Chronic Brain Inflammation Yi-Jen Chen 1, Sheng-Feng Sung, and Yung-Chu Hsu 1 Division of Pulmonary and Critical Care Medicine,

More information

內文 : INDICATIONS AND BENEFITS OF BISPHOSPHONATE THERAPY

內文 : INDICATIONS AND BENEFITS OF BISPHOSPHONATE THERAPY 原文題目 ( 出處 ): 原文作者姓名 : 通訊作者學校 : 報告者姓名 ( 組別 ): American Association of Oral and Maxillofacial Surgeons Position Paper on bisphosphonate-related osteonecrosis of the jaws-2009 update. J Oral Maxillofac Surg

More information

Thromboembolismand Shock 血管栓塞和休克

Thromboembolismand Shock 血管栓塞和休克 Thromboembolismand Shock 血管栓塞和休克 Major Hemodynamic Disorders Edema Hypermia and Congestion 充血 Haemorrhage Hemostasis 止血 and Blood Coagulation 血液凝固 Thrombosis 血栓形成 Embolism 栓塞 Infarction 梗死 Disseminated

More information

The Advantage of Bevacizumab in Treating Colorectal Brain Metastasis

The Advantage of Bevacizumab in Treating Colorectal Brain Metastasis 台灣癌症醫誌 (J. Cancer Res. Pract.) 1(2), 146-151, 2014 DOI: 10.6323/JCRP.2014.1.2.08 Case Report journal homepage:www.cos.org.tw/web/index.asp The Advantage of Bevacizumab in Treating Colorectal Brain Metastasis

More information

CT and Sonographic Findings of Retroperitoneal Plasmacytoma: a case report

CT and Sonographic Findings of Retroperitoneal Plasmacytoma: a case report 中華放射醫誌 Chin J Radiol 2008; 33: 199-203 199 CT and Sonographic Findings of Retroperitoneal Plasmacytoma: a case report Yen-Jun Lai 1 Jia-Hwia Wang Hsin-Kai Wang Shu-Huei Shen Yi-Hong Chou Cheng-Yen Chang

More information

Nontraumatic Hemoperitoneum Due To Spontaneous Gastrointestinal Stromal Tumor Rupture: a case report

Nontraumatic Hemoperitoneum Due To Spontaneous Gastrointestinal Stromal Tumor Rupture: a case report 中華放射醫誌 Chin J Radiol 2009; 4: 29-297 29 Nontraumatic Hemoperitoneum Due To Spontaneous Gastrointestinal Stromal Tumor Rupture: a case report Chung-Yi Wang 1 Frank Du 2 Shih-Ming Huang 1 Yao-Chung Tsai

More information

Embolic Stroke After Total Cavopulmonary Connection for Complex Congenital Heart Disease A Case Report

Embolic Stroke After Total Cavopulmonary Connection for Complex Congenital Heart Disease A Case Report Case Report Tsyr-Yuh Ho et al. Acta Cardiol Sin 2004;20:176 81 Embolic Stroke After Total Cavopulmonary Connection for Complex Congenital Heart Disease A Case Report Tsyr-Yuh Ho, 1 Betau Hwang, 2,3 Pi-Chang

More information

Anterior Cruciate Ligament and Synovial Tophi Deposition Causes Knee Locking

Anterior Cruciate Ligament and Synovial Tophi Deposition Causes Knee Locking DOI 0.3966/8020932052304005 Case Report Anterior Cruciate Ligament and Synovial Tophi Deposition Causes Knee Locking Che-Wei Liu Hsin-Pu Hsieh Chin-Yu Chen Hsi-Ting Lin,* Knee locking is a condition in

More information

Patients with chronic renal failure (CRF) have a

Patients with chronic renal failure (CRF) have a Case Report 515 Simultaneous Development of Renal Cell Carcinoma and Multifocal Urothelial Carcinoma Heng-Chang Chuang, MD; Cheng-Keng Chuang, MD, PhD; Kwai-Fong Ng 1, MD Simultaneous occurrence of multifocal

More information

乳房保留手術後局部復發患者之前哨淋巴結位於對側腋下

乳房保留手術後局部復發患者之前哨淋巴結位於對側腋下 台灣癌症醫誌 (J. Cancer Res. Pract.) 26(3), 137-142, 2010 Case Report journal homepage:www.cos.org.tw/web/index.asp Contralateral Axillary Sentinel Lymph Node Uptake for Local Recurrence of Breast Cancer after

More information

Sitagliptin-associated Acute Pancreatitis: A Case Report

Sitagliptin-associated Acute Pancreatitis: A Case Report 內科學誌 20:22:278-282 Sitagliptin-associated Acute Pancreatitis: A Case Report Le-Yu Tsai, Wen-Ya Ma, Te-Lin Hsia, Dee Pei, and Ching-Chieh Su Division of Endocrinology, Department of Internal Medicine, Cardinal

More information

Distraction Histiogenesis for the Treatment of Lichtman Stage II Kienböck s Disease: A Case Report

Distraction Histiogenesis for the Treatment of Lichtman Stage II Kienböck s Disease: A Case Report Tungs Medical Journal 11 (2017) 39-43 39 Case Report Distraction Histiogenesis for the Treatment of Lichtman Stage II Kienböck s Disease: A Case Report Wei Cheng Lai, Sheng Chieh Lin, Hung Kai Lo* Department

More information

Necrotizing Pneumonia Associated with Septicemia Caused by Clostridium perfringens: A Case Report

Necrotizing Pneumonia Associated with Septicemia Caused by Clostridium perfringens: A Case Report 內科學誌 0::87-9 Necrotizing Pneumonia Associated with Septicemia Caused by Clostridium perfringens: A Case Report Chang-Hua Chen, Shang-Yun Ho, and Kai-Huang Lin Division of Infectious Diseases, Department

More information

愛滋病照護 性別觀點 柯乃熒 國立成功大學醫學院護理系副教授暨國立成功大學附設醫院護理部督導長 21: HIV

愛滋病照護 性別觀點 柯乃熒 國立成功大學醫學院護理系副教授暨國立成功大學附設醫院護理部督導長 21: HIV 22 愛滋病照護 性別觀點 柯乃熒 國立成功大學醫學院護理系副教授暨國立成功大學附設醫院護理部督導長 摘要 : 生理 社會及文化中不平等的性別權力關係, 增加女性及青少女感染愛滋病毒的風險 抗愛滋 病毒藥物治療能有效抑制愛滋病毒複製, 延長愛 滋感染者之預期壽命 愛滋病毒感染已成為慢性 病, 倘若協助女性感染者規則回診及接受治療, 抗病毒藥物治療的效果及因愛滋病死亡的比率並 無顯著性別差異, 加上人工生殖技術的成熟,

More information

Lung Adenocarcinoma Metastatic to an Indirect Inguinal Hernia Sac: A Case Report and Literature Review

Lung Adenocarcinoma Metastatic to an Indirect Inguinal Hernia Sac: A Case Report and Literature Review DOI 10.3966/181020932016061402003 Case Report Lung Adenocarcinoma Metastatic to an Indirect Inguinal Hernia Sac: A Case Report and Literature Review Hui-Yu Lin 1 Chun-Hou Liao 1,2 Yu-Wei Chou 1,* An inguinal

More information

如果你有過造影劑過敏 對於術前用藥, 你需要知道些什麽

如果你有過造影劑過敏 對於術前用藥, 你需要知道些什麽 UW MEDICINE PATIENT EDUCATION IF YOU HAVE HAD CONTRAST ALLERGY CHINESE 如果你有過造影劑過敏 對於術前用藥, 你需要知道些什麽 本資料是爲某些病人編寫, 這些病人過去在接受造影劑時出現過中等程度或嚴重的過敏反應, 而現在已預約接受使用造影劑的造影研究 你的醫生已經決定需爲你做一項特殊的造影研究, 藉以幫助他們管理你的健康 已爲你安排好做以下其中一項掃描

More information

Effect of Alendronate and Teriparatide on Bone Mineral Density in Postmenopausal Women

Effect of Alendronate and Teriparatide on Bone Mineral Density in Postmenopausal Women 35 Original Article Effect of Alendronate and Teriparatide on Bone Mineral Density in Postmenopausal Women Pei-Tsen Chen, Piya-on Numpaisal, 2 Ching-Chuan Jiang, Hongsen Chiang Departments of Physical

More information

Renal Cell Carcinoma in a 3 year-old Girl: a case report

Renal Cell Carcinoma in a 3 year-old Girl: a case report 中華放射醫誌 Chin J Radiol 2008; 33: 271-275 271 Renal Cell Carcinoma in a 3 year-old Girl: a case report Kun-Shuo Huang 1 Shin-Lin Shih 1,2 Fei-Shih Yang 1,3 Department of Radiology 1, Mackay Memorial Hospital

More information

MRI Appearance of Lumbosacral Spine in a Patient with Ankylosing Spondylitis and Cauda Equina Syndrome

MRI Appearance of Lumbosacral Spine in a Patient with Ankylosing Spondylitis and Cauda Equina Syndrome 中華放射醫誌 Chin J Radiol 2004; 29: 217-221 217 MRI Appearance of Lumbosacral Spine in a Patient with Ankylosing Spondylitis and Cauda Equina Syndrome YANG-KAI FAN SHO-JEN CHENG JON-KWAY HUANG Department of

More information

Clinical Scenario. L1 laminectomy and decompression T11-12, L2-3 posterior instrumented fusion L1 vertebroplasty

Clinical Scenario. L1 laminectomy and decompression T11-12, L2-3 posterior instrumented fusion L1 vertebroplasty 骨科 R1 蔡沅欣 2013.3.18 Clinical Scenario 82 y/o male Fell down about 3 months ago, no significant discomfort, except mild back pain In recent 2 months, back pain progressed, bilateral lower leg weakness and

More information

兒童及青少年肥胖評估工具 黃秀玫張碧真 * Cole & Rolland-Cachera, body mass index, BMI Mei et al., 2002 BMI. body mass index, BMI BMI

兒童及青少年肥胖評估工具 黃秀玫張碧真 * Cole & Rolland-Cachera, body mass index, BMI Mei et al., 2002 BMI. body mass index, BMI BMI 78 兒童及青少年肥胖評估工具 黃秀玫張碧真 * 身體組成的測量可以觀察身體的相關生長與疾病的狀態, 臨床與研究上常運用各種測量方式以定 義兒童及青少年肥胖 本文主要回顧實地測量方 式, 探討各種工具的運用與信 效度, 並以臺 灣實施現況加以討論, 以期在未來可以正確地評 估兒童及青少年肥胖 測量身體組成的方式包括 實驗室檢查法與實地測量法, 其中實地測量法包 括重高指標與脂肪分佈的測量, 而實地測量方式

More information

Oral Soft Tissue Metastases

Oral Soft Tissue Metastases Research Report Oral Soft Tissue Metastases Yuk-Kwan Chen, Wen-Chen Wang, Jin-Yi Chen, Li-Min Lin Department of Oral Pathology, School of Dentistry, College of Dental Medicine, Kaohsiung Medical University,

More information

LOKUN! I got stomach ache!

LOKUN! I got stomach ache! LOKUN! I got stomach ache! Mr L is a 67year old Chinese gentleman who is a non smoker, social drinker. He has a medical history significant for Hypertension, Hyperlipidemia, Type 2 Diabetes Mellitus, Chronic

More information

流感重症分析的目的 : 準備好因應大流 行

流感重症分析的目的 : 準備好因應大流 行 王振泰醫師台大醫院內科部感染科 流感重症分析的目的 : 準備好因應大流 行 1918, Spanish influenza H1N1 1957, Asian influenza H2N2 1968, Hong Kong influenza H3N2 1997 & 2003, Hong Kong & mainland China H5N1 (remain candidate only till now)

More information

A young Female Patient with Gardner Syndrome: a case report

A young Female Patient with Gardner Syndrome: a case report 中華放射醫誌 Chin J Radiol 2008; 33: 5-56 5 A young Female Patient with Gardner Syndrome: a case report Yu-Kun Tsui Reng-Hong Wu Ching-Cherng Tzeng 2 Te-Chang Wu Tai-Yuan Chen Tai-Ching Wu Wen-Sheng Tzeng Department

More information

Recurrent Bleeding from Gastric

Recurrent Bleeding from Gastric Recurrent Bleeding from Gastric Angiodysplasia:A Case Report Ching-Chung Lin, Shee-Chan Lin, and Kuo-Ming Chang* Gastrointestinal Division, Department of Internal Medicine, *Pathology, Mackay Memorial

More information

Pulmonary Embolism of Polymethylmethacrylate After Percutaneous Vertebroplasty : A case report

Pulmonary Embolism of Polymethylmethacrylate After Percutaneous Vertebroplasty : A case report 中華放射醫誌 Chin J Radiol 006; 31: 7-51 7 Pulmonary Embolism of Polymethylmethacrylate After Percutaneous Vertebroplasty : A case report Shaw-Nan Jean 1 Yung-Fang Chen Jui-Fen Chen Shen-Jye Chen 3 Tao-Chyi

More information

CURRICULUM VITAE Chin-Ming Chen

CURRICULUM VITAE Chin-Ming Chen PERSONAL: CURRICULUM VITAE Chin-Ming Chen Date of Birth: Dec. 13.1969 Place of Birth: Kaohsiung, Taiwan Sex Marital Status: Address: : Male Married No.901, Chung-Hwa road, Yong-Kang city, Tainan county

More information

一般外科 case presentation. By intern 楊容欣 指導老師 :Dr. 魏昌國

一般外科 case presentation. By intern 楊容欣 指導老師 :Dr. 魏昌國 一般外科 case presentation By intern 楊容欣 指導老師 :Dr. 魏昌國 Patient profile Name 王琴祿 Age:64 years old Gender: male ID:E101600787 Date of admission:0940517 Chief complain HCC s/p 3 PEI, AFP elevating during recent

More information

Extra-corporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome: A Single Center Experience

Extra-corporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome: A Single Center Experience Original ECMO for ARDS Acta Cardiol Sin 2007;23:97 02 Extra-corporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome: A Single Center Experience Shye-Jao Wu, Ming-Ren Chen, Shen Sun, Jiun-Yi

More information

Acute Psychosis in a Patient with Hashimoto's Thyroiditis

Acute Psychosis in a Patient with Hashimoto's Thyroiditis Case Report Taiwanese Journal of Psychiatry Vol. 23 No. 4 2009 337 Acute Psychosis in a Patient with Hashimoto's Thyroiditis Zon-Yi Tsai, M.D., Hua-An Shuai, M.D., Chia-Chun Wang, M.D., Guang-Yang Tsai,

More information

Clinico-pathological Features of Colonic Intussusception in Adults

Clinico-pathological Features of Colonic Intussusception in Adults J Soc Rectal Surgeon (Taiwan) March 200 Case Analysis Clinicopathological Features of ic Intussusception in Adults TungCheng Chang,2 JinTung Liang BenRen Lin John Huang HongMau Lin 3 Division of Colorectal,

More information

Malignant Thyroid Teratoma with Aggressive Neck and Intrathoracic Disseminations

Malignant Thyroid Teratoma with Aggressive Neck and Intrathoracic Disseminations 中華癌醫會誌 (J. Chinese Oncol. Soc.) 25(6), 469-474, 2009 Case Report journal homepage:www.cos.org.tw/web/index.asp Malignant Thyroid Teratoma with Aggressive Neck and Intrathoracic Disseminations Wei-Chun

More information

Trans-sternal Percutaneous Computed Tomography Guided Core Biopsy for Anterior Mediastinal Mass: a case report

Trans-sternal Percutaneous Computed Tomography Guided Core Biopsy for Anterior Mediastinal Mass: a case report 中華放射醫誌 Chin J Radiol 2009; 34: 277-282 277 Trans-sternal Percutaneous Computed Tomography Guided Core Biopsy for Anterior Mediastinal Mass: a case report Sheng-Heng Tsai I-Chen Tsai,2 Min-Chi Chen,3 Pao-Chun

More information

在急症環境下以護理點脂肪酸結合蛋白決定胸痛病人心肌梗塞之價值

在急症環境下以護理點脂肪酸結合蛋白決定胸痛病人心肌梗塞之價值 Hong Kong Journal of Emergency Medicine The value of point-of-care fatty acid binding protein in patients with chest pain in determining myocardial infarction in the emergency setting 在急症環境下以護理點脂肪酸結合蛋白決定胸痛病人心肌梗塞之價值

More information