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Journal of the Korean Academy of Rehabilitation Medicine 1997;21(3):594-598.
Spontaneous Bacterial Peritonitis Associated with Cervicomedullary Tumor: A case report.
Oh, Hyoung Seok , Rah, Ueon Woo , Moon, Hae Won , Lee, Il Yung , Park, Sang Il
Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Korea.
경수부 수질내 종양 환자에서의 원발성 세균성 복막염 1례 ⁣증례 보고⁣
오형석, 나은우, 문혜원, 이일영, 박상일
아주대학교 의과대학 재활의학교실

Spontaneous bacterial peritonitis(SBP) is a diffuse bacterial infection of peritoneum without an apparent intra-abdominal source of infection. Initially, it was believed to be associated with an alcholic liver cirrhosis, however, its clinical spectrum has been broadened and now it is thought to be a variant syndrome rather than an unique complication of liver cirrhosis.

A 25 year old quadriparetic man with a low-grade astrocytoma of cervicomedullary junction underwent a partial resection of tumor and a course of radiation therapy. While recieving rehabilitation therapy, the patient developed sudden abdominal pain, constipation and fever. The laboratory findings including CBC, plain abdominal X-rays, gastroduodenal endoscopy, abdominal ultrasonography were not specific. Physical examination revealed rebound tenderness over the epigastric region and signs suggesting paralytic ileus. A diagnostic peritoneal lavage was performed and its result was compatible with SBP even though no specific orgnisms were identified. The patient was taken parenteral antibiotics. On the 13th day of treatment, his symptoms and physical signs were subsided and antibiotics were discontinued. The patient remained symptom free until rehabilitation therapies were completed.

Key Words: Spontaneous bacterial peritonitis, Paralytic ileus, Cervicomedullary astrocytoma


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