書誌事項
- タイトル別名
-
- A case of gallstone ileus caused by cholecystogastric fistula with carcinoma of the gallbladder
この論文をさがす
抄録
A 71-years old man was admitted with nausea and vomiting on July 7,2001. Abdominal X-ray films showed air-fluid level in the small bowel and a calcified object sized 2.5 cm in diameter in the right flank. CT scan of the abdomen revealed the calcified object in the small bowel associated with proximal dilatation. CT also demonstrated the contracted gallbladder, pneumobilia, and a fistula between the gallbladder and the gastric antrum. Based on these findings, it was thought that the patient developed cholecystogastric fistula and small bowel obstruction due to a gallstone. He was treated conservatively and obstruction resolved after passage of the gallstone into stool on the third hospital day. He was initially treated with TPN. However, the cholecystogastric fistula remained open one month later. Therefore, he underwent cholecystectomy and fistulectomy. Pathological examination of the surgical specimen revealed cancer partly in the gallbladder. Because a biliary fistula could develop ascending cholangitis and gallbladder cancer, surgical repair should be considered if it does not close spontaneously.
収録刊行物
-
- Tando
-
Tando 16 (1), 43-49, 2002
Japan Biliary Association
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390001205465756288
-
- NII論文ID
- 10008363373
-
- NII書誌ID
- AN10062001
-
- ISSN
- 09140077
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可