書誌事項
- タイトル別名
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- A Case of Xanthogranulomatous Cholecystitis with Portal Venous Thrombosis and Early Gallbladder Cancer.
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We report a case of xanthogranulomatous cholecystitis with portal venous thrombosis and penetration to the duodenum which was difficult to differenciate from an advanced carcinoma of the gallbladder. A 70-year-old man was admitted to the hospital because of epigastralgia and vomiting. Abdominal computed tomography revealed thrombus of the right branch of the portal vein and gallbladder wall thickening. Advanced carcinoma of the gallbladder or chronic cholecystitis with portal venous thrombosis was suspected and surgery was performed. Xanthogranulomatous cholecystitis was most likely on naked eye but malignancy was detected by frozen section of the gallbladder wall. So a pylorus preserving pancreaticoduodenectomy was made. Doppler ultrasonography during the operation showed no blood flow in the thrombus. Histologically the tumor was mainly composed of xanthogranulomatous cholecystitis and no malignant cells were present in the thrombus. The patient was discharged from the hospital on the 34th postoperative day without any complications. To differenciate between portal inflammatory thrombus and malignant thrombus, color or power Doppler imaging is often used. On this case we could make the accurate diagnosis by using Doppler ultrasonography. Doppler imaging which reveals blood flow in the thrombus is thought to be useful.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 62 (10), 2502-2505, 2001
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204846278528
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- NII論文ID
- 130003602216
- 10008390948
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
- http://id.crossref.org/issn/13452843
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可