A Case of Perforated Sigmoid Diverticulitis in Which Gram Staining of Ascitic Fluid Was Useful for Diagnosis
المؤلفون المشاركون
Matsumoto, Toshiharu
Tsuchida, Junko
Miyano, Shozo
Kawano, Fumihiro
Kojima, Kuniaki
Kitabatake, Toshiaki
Tsukamoto, Ryoichi
Ogura, Kanako
Fujisawa, Minoru
Naito, Shigetoshi
Fujita, Shouhei
Ishiyama, Shun
Honjo, Kunpei
Machida, Michio
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-03-04
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
An 85-year-old woman was admitted to our hospital for steroid therapy for relapsing nephrotic syndrome.
During hospitalization, she complained of sudden epigastric pain at night.
Although there were signs of peritoneal irritation, CT showed a large amount of ascitic fluid, but no free intraperitoneal gas.
Gram staining of ascitic fluid obtained by abdominal paracentesis showed Gram-negative rods, which raised a strong suspicion of gastrointestinal perforation and peritonitis.
Therefore, emergency surgery was performed.
Exploration of the colon showed multiple sigmoid diverticula, one of which was perforated.
The patient underwent an emergency Hartmann's procedure.
Imaging studies failed to reveal any evidence of gastrointestinal perforation, presenting a diagnostic challenge.
However, a physician performed rapid Gram staining of ascitic fluid at night when laboratory technicians were absent, had a strong suspicion of gastrointestinal perforation, and performed emergency surgery.
Gram staining is superior in rapidity, and ascitic fluid Gram staining can aid in diagnosis, suggesting that it should be actively performed.
We report this case, with a review of the literature on the significance of rapid diagnosis by Gram staining.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Tsuchida, Junko& Fujita, Shouhei& Kawano, Fumihiro& Tsukamoto, Ryoichi& Honjo, Kunpei& Naito, Shigetoshi…[et al.]. 2014. A Case of Perforated Sigmoid Diverticulitis in Which Gram Staining of Ascitic Fluid Was Useful for Diagnosis. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-470592
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Tsuchida, Junko…[et al.]. A Case of Perforated Sigmoid Diverticulitis in Which Gram Staining of Ascitic Fluid Was Useful for Diagnosis. Case Reports in Surgery No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-470592
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Tsuchida, Junko& Fujita, Shouhei& Kawano, Fumihiro& Tsukamoto, Ryoichi& Honjo, Kunpei& Naito, Shigetoshi…[et al.]. A Case of Perforated Sigmoid Diverticulitis in Which Gram Staining of Ascitic Fluid Was Useful for Diagnosis. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-470592
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-470592
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر