後腹膜気腫像を呈した急性閉塞性化膿性胆管炎の１例

• 東平 日出夫

  国立東静病院外科

• 立山 健一郎

  国立東静病院外科

• 尾関 豊

  国立東静病院外科

書誌事項

タイトル別名

• A Case of Acute Obstructive Suppurative Cholangitis Complicated with the Retroperitoneal Emphysema.

抄録

A 72-year-old female were admitted to a clinic with complaint of epigastric pain, and suspected as acute cholecystitis, then transferred to our hospital. On the first day after admission the symptom was deteriorated and we performed percutaneous transhepatic gallbladder drainage to prevent exacerbation of the symptom and aspirated suppurative bile. On the next day biochemistry tests revealed that total bilirubin was 15.9mg dl and Pentalogy of Raynolds was observed, then we diagnosed acute obstructive suppurative cholangitis with GB stone. On the same day a CT was taken and it demonstrated retroperitoneal emphysema with alveolar pattern at just cranial side of the pancreas. On the 7^thday after admission, we performed a laparotomy to eliminate the cause of the cholangitis, a gallbladder and gallstones. We also investigated the retroperitoneal emphysema, and as a result we found the retroperitoneum filled with necrotic tissue without abscess. We decided the cause of the retroperitoneal emphysema was infection due to the cholangitis. The patient was discharged on the 77^thday after admission. The retroperitoneal emphysema due to acute obstructive suppurative cholangitis has not been reported in this country yet, and we herein reported such a rare case.

収録刊行物

• 日本消化器外科学会雑誌

  日本消化器外科学会雑誌 33 (1), 75-79, 2000

  一般社団法人 日本消化器外科学会

キーワード

• acute obstructive suppurative cholangitis
• retroperitoneal emphysema

詳細情報

• CRID: 1390282679889219456
• NII論文ID: 130004343385
• NII論文ID: 110001340779
• NII書誌ID: AN00192066
• DOI: 10.5833/jjgs.33.75
• ISSN: 13489372
• ISSN: 03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/33/1/33_1_75/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000110282
• 本文言語コード: ja
• データソース種別:
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