Chien-Kan Chen

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Foreign body ingestion is not an uncommon problem encountered in clinical practice. The accidental ingestion of fish bones may sometimes lead to penetration injuries with complicating abscess formation. The ingestion of foreign bodies results in gastrointestinal perforation in about 1% of patients. Fish bones are the most commonly seen objects leading to(More)
A 37-year-old man presented with chest tightness and mild shortness of breath for several hours. Medical history was minimal except for smoking 20 cigarettes per day for many years. Vital signs included pulse rate 58 beats per minute, respiratory rate 20 breaths per minute, and blood pressure 105/68 mm Hg. Physical examination showed decreased breath sounds(More)
Acute abdomen is an emergent condition in the emergency department, and it is mandatory to evaluate it immediately and treat it without delay. Pneumoperitoneum is usually attributed to perforation of the gastrointestinal tract. However, intra-abdominal, gynecologic, urologic, and miscellaneous pathogenesis not related to a perforated gastrointestinal tract(More)
uestion: A 58-year-old woman, with hypertension uner medication control, presented to the emergency deartment because of 2 episodes of fever over the past 5 ays. She mentioned a chronic, dull, aching pain over her pigastrium for the past half a year despite antacid treatent, which worsened during the recent few weeks. Labratory study was unremarkable expect(More)
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