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第57卷 第1期 2024-1
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Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer

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Role of clinical surgery in management of adverse effect of COVID-19 vaccine

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Trends in global research for treating COVID-19 vaccine–related acute appendicitis: A bibliographic analysis

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A huge gastric trichobezoar presenting with Rapunzel syndrome: A case report

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Early decompressive surgery within 72 hours of admission maintains financial advantages for patients with spinal epidural abscess, as evidenced by a retrospective study involving 130 cases

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第56卷 第6期 2023-11
New generation of COVID-19 vaccine, new form and new material: What to know in clinical surgery

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第56卷 第6期 2023-11
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第56卷 第6期 2023-11
Aortic valve myxoma presenting with sudden visual loss

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第56卷 第6期 2023-11
Candida auris and new concern in clinical surgery

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第56卷 第6期 2023-11
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第56卷 第6期 2023-11
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第56卷 第6期 2023-11
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篇名 Vernix caseosa peritonitis following vaginal delivery: Cheesy peritonitis
作者 Arif Abdullah, Asri Che Jusoh, Noryani Mohd Samat, Murni Hartini Jais
卷期/出版年月 55卷6期 (2022/11)
頁次 221-224
摘要 The incidence of the acute abdomen during early postpartum is not uncommon. In this report, we highlight an extremely rare cause of acute abdomen which posed significant diagnostic and management dilemmas. In this case, the patient presented at day 5 postvaginal delivery with progressive respiratory embarrassment, mild abdominal pain, and fever. Her clinical signs, blood and laboratory parameters, and imaging (ultrasound and computed tomography scan) were however nonspecific except for worsening ascites. Laparotomy was determined as the best procedure for her in view of her polymorphonuclear cell count from an abdominal paracentesis being very high and the absence of clinical improvement even with the best intensive care support. Vernix caseosa peritonitis (VCP) was finally diagnosed based on histological examination of the “cheesy” slough extracted intraoperatively. Our case illustrates the nonspecific features of VCP which may be potentially fatal if undiagnosed early and no definitive care is provided.
關鍵詞 Peritonitis, postpartum, vernix caseosa
分類 Case Report

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