A CASE OF ACUTE EMPHYSEMATOUS CHOLECYSTITIS TREATED WITH PERCUTANEOUS TRANSHEPATIC GALLBLADDER DRAINAGE
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- KONISHI Ichiro
- Department of Surgery, Toyama City Hospital
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- UEDA Nobuhiko
- Department of Surgery, Toyama City Hospital
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- HIRONO Teisuke
- Department of Surgery, Toyama City Hospital
Bibliographic Information
- Other Title
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- 経皮経肝的胆嚢ドレナージが有効であった急性気腫性胆嚢炎の1例
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Abstract
A 78-year-old man was seen at the hospital because of right hypochondralgia. Abdominal imaging revealed an air in the gallbladder and intrahepatic bile duct. Abdominal ultrasonography revealed a high echogenic area where coincided with the gallbladder and another high echogenic area due to gas in the intrahepatic bile duct. Under a diagnosis of acute emphysematous cholecystitis (AEC), percutaneous transhepatic gallbladder drainage (PTGBD) was carried out immediately. With cultivation of bile juice collected during drainage, Clostridium perfringens was detected. Fifteen days after the drainage, a cholecystectomy with mini-laparotomy was carried out easily. The treatment of choice for AEC has been considered to be early surgery because of high risk of gangrene and perforation of the gallbladder wall, therefore PTGBD has been thought to be contraindication. In this patient, PTGBD was chosen for the initial intervention and the post-drainage course was uneventful. It is considered that PTGBD can be employed for AEC in the majority of the cases.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 58 (7), 1602-1606, 1997
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282680291385984
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- NII Article ID
- 130003600557
- 10008528896
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed