Ａｅｒｏｍｏｎａｓ　ｈｙｄｒｏｐｈｉｌａとＣｌｏｓｔｒｉｄｉｕｍ　ｐｅｒｆｒｉｎｇｅｎｓの感染を認めた急性壊疽性無石胆嚢炎の１例

• 飯田 豊

  岐阜赤十字病院外科

• 鬼束 惇義

  岐阜赤十字病院外科

• 片桐 義文

  岐阜赤十字病院外科

書誌事項

タイトル別名

• A Case of Acute Gangrenous Acalculous Cholecystitis Accompanied by Aeromonas Hydrophila and Clostridium Perfringens Septic Shock

抄録

A 52-year-old man admitted for nausea, fever, and right hypochondrial pain was found in abdominal ultrasonography to have a swollen stone-free gallbladder with thickened walls. He was diagnosed as having acute acalculous cholecystitis and immediately treated with percutaneous transhepatic gallbladder aspiration (PTGBA), yielding suppurative bile. His fever and abdominal pain did not disappear, however, necessitating emergency cholecystectomy 48 hours after symptom onset. Laparotomy showed necrotic change in the gallbladder wall. Despite acute septic shock, his general condition immediately improved with hemoperfusion with polymyxin B-immobilized fiber. He was discharged on hospital day 36. Bile culture test showed Aeromonas hydrophila and Clostridium perfringens. Some reports state that these bacteriae infections are highly progressive, causing sepsis followed by multiple organ failure and death. Aeromonas and Clostridium infection accompanied by acute acalculous cholecystitis thus requires particularly vigilant monitoring.

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 40 (3), 296-300, 2007

  一般社団法人 日本消化器外科学会

キーワード

• <I>Aeromonas</I>
• <I>Clostridium</I>
• acalculous cholecystitis

詳細情報

• CRID: 1390282679894580480
• NII論文ID: 130004117574
• NII論文ID: 110006223970
• NII書誌ID: AN00192066
• DOI: 10.5833/jjgs.40.296
• ISSN: 13489372
• ISSN: 03869768
• ISSN: http://id.crossref.org/issn/03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/40/3/40_3_296/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007150759
• 本文言語コード: ja
• 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