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KMID : 0367419780190060041
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Journal of Korean Pediatric Society
1978 Volume.19 No. 6 p.41 ~ p.44
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A case of primary peritonitis
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金在松/Kim, Jae Song
吳正相/裵錫救/韓東觀/孫承國/黃毅浩/Oh, Jung Sang/Bai, Seockoo/Han, Dong Gwan/Son, Seung Kook/Hwang, Eui Ho
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Abstract
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A 2 month old male infant was admitted to Severance hospital due to bile stained vomiting_ and abdominal distention fir 2 days via emergency room. On physical examination, acutely ill appearance with lethargy, subnormal temperature, sunken fontanel, dry mouth, coated tongue, abdominal distenticn, and absent bowel sounds were noted and clinical impression could not be ruled out paralytic ileus due to sepsis., On the radiologic finnings of flat and upright abdomen, gaseous distention of small and large bowels and multiple air-fluid levels were noted. And barium enema study revealed normal findings.
The operation was performed and pus of intra-abdominalcavity was noted without any evidence of perforation or abscess of intra-abdominal organs. Peptostreptococcus productus was isolated from the pus culture as the causative pathogenic orgai,ism. After operation, wound infection, wo,ind dehiscence, and fecal fistula were compiicated, but on discharge the complicated lesions sere almcs: healed.
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