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- Araki Hiromichi
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Shimizu Shuya
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Hayashi Katsumi
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Yamada Tomonori
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Kusakabe Atsunori
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Kanie Hiroshi
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Mizuno Yusuke
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Kojima Issei
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Saitou Akitoshi
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Nagao Kazuhiro
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Suzuki Yuka
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Toyohara Tadashi
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Suzuki Takanori
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Uchida Erika
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Uno Konomu
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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- Nakazawa Takahiro
- Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Japan
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抄録
<p>We report a case of a 70-year-old man with acute acalculous cholecystitis caused by Giardia lamblia. Contrast-enhanced computed tomography (CT) showed distention of the gallbladder due to a pericholecystic abscess without gallstones. Magnetic resonance cholangiopancreatography and drip infusion cholecystocholangiography-CT demonstrated a stricture of the hilar bile duct and cystic duct obstruction. We conducted transpapillary bile duct brush cytology and a biopsy of the hilar bile duct stricture; numerous active trophozoites of Giardia lamblia were observed without malignant findings. We considered this bile duct lesion to be biliary giardiasis. Biliary giardiasis should be taken into consideration when diagnosing acute acalculous cholecystitis. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 56 (13), 1657-1662, 2017
一般社団法人 日本内科学会