ガス産生菌を伴う重症急性胆管炎に起因した胆道気腫症の1例

• 松本 泰輔

  新座志木中央総合病院／消化器内科

• 新戸 禎哲

  新座志木中央総合病院／消化器内科

• 森 みゆき

  新座志木中央総合病院／消化器内科

• 水野 真之

  新座志木中央総合病院／消化器内科

• 黒澤 貴志

  東京医科大学病院／消化器内科

• 殿塚 亮祐

  東京医科大学病院／消化器内科

書誌事項

タイトル別名

• A case of pneumobilia due to acute cholangitis (Grade III) associated with gas-producing bacteria

抄録

A 78-year-old man was admitted to our hospital with complaint of right hypochondralgia. Laboratory data showed the elevation of transaminase and biliary tract enzymes. Abdominal CT showed stones in the common bile duct (CBD) and gallbladder (GB) . In addition, significant amount of gas was present in the bile duct while the gas in the GB was much less. Therefore the diagnosis of as acute cholangitis (Grade III) with pneumobilia was made. Endoscopic retrograde cholangiography (ERC) and ENBD were performed. Endoscopic view and ERC showed no evidence of choledochoduodenal fistula as the cause of pneumobilia. After the procedures, the patient’s symptoms disappeared. After a week, endoscopic sphincterotomy and lithotripsy were carried out. Bile culture was positive with Clostridium perfringens thus we concluded the acute cholangitis (Grade III) with pneumobilia was accounted for by the gas-producing Clostridium perfringens.

収録刊行物

• Progress of Digestive Endoscopy

  Progress of Digestive Endoscopy 88 (1), 172-173, 2016

  一般社団法人 日本消化器内視鏡学会 関東支部

キーワード

• 胆道気腫症
• 重症急性胆管炎

詳細情報

• CRID: 1390282680417693696
• NII論文ID: 130005161986
• DOI: 10.11641/pde.88.1_172
• ISSN: 21874999
• ISSN: 13489844
• Web Site: https://www.jstage.jst.go.jp/article/pde/88/1/88_172/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2016386622
• 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