胆管内ガスおよび腹腔内遊離ガス像を認めた気腫性胆嚢炎の1例

• 田島 秀浩

  高岡市民病院外科

• 澤崎 邦廣

  高岡市民病院外科

• 塩澤 邦久

  高岡市民病院外科

• 野手 雅幸

  高岡市民病院外科

• 藤田 秀春

  高岡市民病院外科

書誌事項

タイトル別名

• A CASE OF EMPHYSEMATOUS CHOLECYSTITIS WITH PNEUMOBILIA AND INTRAABDOMINAL FREE AIR

抄録

Emphysematous cholecystitis that is caused by gas-producing bacteria is a reratively rare entity in which the gallbladder or gallbladder wall contains gas. This paper presents a case emphysematous cholecystitis associated with pneumobilia and intraabdominal free air, together with a review of the literature. An 81-year-old man was admitted to the hospital because of appetite loss and abdominal fullness. Blood studies showed severe inflammation and jaundice without liver injury. There was no tenderness nor muscle gurding. Abdominal CT scan showed gas in the gallbladder, intrahepatic bile duct and right subphrenic space. With a diagnosis of acute emphysematous cholecystitis, an emergency operation was done because the patient was in a preseptic state and the wall of gallbladder was thin and weak. Histological examination of the gallbladder showed necrosis without cholecystlitiasis. Postoperative course was uneventfull, and the patient was discharged from the hospital 16 days after the operation.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 60 (12), 3257-3261, 1999

  日本臨床外科学会

キーワード

• 気腫性胆嚢炎
• 胆管気腫
• 腹腔内遊離ガス

詳細情報

• CRID: 1390282679824554624
• NII論文ID: 130003601238
• NII論文ID: 10008499239
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.60.3257
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/60/12/60_12_3257/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000133622
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可