台灣外科醫學會雜誌

中文 | ENG

	第57卷第6期 2024-11 Emerging robot-guided techniques in endodontic microsurgery
.........................
	第57卷第6期 2024-11 Management of subcapsular hematoma after living donor liver transplant
.........................
	第57卷第6期 2024-11 Urethral pseudodiverticulum with left-sided nonfunctioning kidney: Case report
.........................
	第57卷第6期 2024-11 Strategy to minimize surgical defect of dermatofi brosarcoma protuberans
.........................
	第57卷第6期 2024-11 Rapunzel syndrome—An uncommon disease with varied common presentations
.........................
	第57卷第6期 2024-11 Minimally invasive approaches to management of acute necrotizing pancreatitis
.........................
	第57卷第6期 2024-11 Innovative surgical technique: Addressing ethical concerns
.........................
	第57卷第6期 2024-11 Emergency surgery and HIV screening, clinical or universal scenarios?
.........................
	第57卷第6期 2024-11 High mortality rates associated with parainfl uenza virus, not metapneumovirus, infections in lung transplant recipients: A retrospective observation
.........................
	第57卷第6期 2024-11 Predatory clinical surgery journal, rescinding the decision to accept submitted article and unjustifi ed rejection and unprofessional conduct
.........................
	第57卷第6期 2024-11 Sacrifi cial of unilateral vertebral artery for fragment removal following vertebral artery injury by air rif le pellet gunshot: A case report
.........................
	第57卷第6期 2024-11 Evaluation of three-dimensional reconstruction technology in precision hepatectomy for primary liver cancer
.........................
	第57卷第6期 2024-11 Exploring the seasonal variation of anorectal disease: A comprehensive study
.........................
	第57卷第6期 2024-11 Efficacy of the minimal-invasive vacuum-assisted biopsy under direct visualization with ultrasound for impalpable breast lesions in Taiwanese female: A retrospective case-control study
.........................
	第57卷第6期 2024-11 Computed tomography on the 5th postoperative day helps distinguish grade C from grade B pancreatic fi stula after pancreaticoduodenectomy for periampullary cancer
.........................
	第57卷第6期 2024-11 Pressurized intraperitoneal aerosol chemotherapy (PIPAC): Why it will transform cancer surgery
.........................
	第57卷第5期 2024-9 Evaluating the pros and cons of anonymous commenting on PubPeer
.........................
	第57卷第5期 2024-9 Infected urachal cyst with urethral stricture disease presenting with intraperitoneal perforation of cyst and pyoperitoneum
.........................
	第57卷第5期 2024-9 COVID-19 vaccination and acute cholecystitis: A rare but important clinical problem
.........................
	第57卷第5期 2024-9 Hobnail-shaped primary prostatic urethral calculus due to urethral stricture disease
.........................

登入帳號才能閱讀全文

篇名	Non-operative treatment of idiopathic colonic perforation in a neonate
作者	Yun Chen, Hong-Shiee Lai
卷期/出版年月	36卷3期 (2003/6)
頁次	147-150
摘要	Single bowel perforation without clinical evidence of intestinal obstruction, NEC, or other gastrointestinal lesion may then be diagnosed as idiopathic bowel perforation. Idiopathic colonic perforation in the neonate is rare and difficult to diagnose clinically. Surgical treatment of idiopathic colonic perforation is usually necessary. We present the experience of successful conservative treatment for a fullterm neonate with idiopathic colonic perforation. She was a full-term baby who had abdominal distension and bilious vomiting at the age of three days. There was no occult blood in the stool. A contrast study of the lower gastrointestinal tract showed a small perforation at the splenic flexure of the colon on the 6th postdelivery day. Because her condition was stable and there were no peritoneal signs, conservative treatment was given. Feeding was started 17 days after admission, and she was discharged 9 days later. She was doing well after 10 months of follow up. It is advocated that non-operative treatment may be feasible in patients with idiopathic colonic perforation in a stable clinical condition wgere there is a small and localixed perforation and a good facility for close observation.
關鍵詞	idiopathic colonic perforation, non-operative treatment
分類	Case Report