腹腔鏡下胆摘術を施行した胆管内気腫,総胆管狭窄を合併した気腫性胆嚢炎の1例

• 岡田 章一

  国立療養所敦賀病院外科

• 井上 哲也

  国立療養所敦賀病院外科

• 木下 一夫

  国立療養所敦賀病院外科

• 澤 敏治

  国立療養所敦賀病院外科

• 吉光 外宏

  国立療養所敦賀病院外科

書誌事項

タイトル別名

• ACUTE EMPHYSEMATOUS CHOLECYSTITIS WITH PNEUMOBILIA: A CASE MANAGED BY LAPAROSCOPIC CHOLECYSTECTOMY FOLLOWING PERCUTANEOUS TRANSHEPATIC GALLBLADDER DRAINAGE

抄録

Acute emphysematous cholecystitis is a serious disorder with high mortality and morbidity. We report a case of emphysematous cholecystitis with pneumobilia managed by laparoscopic cholecystectomy (LC) following percutaneous transhepatic gallbladder drainage (PTGBD).<br> A 63-year-old woman was admitted with a chief complaint of the right hypochondralgia and diagnosed as acute cholecystitis. Gall stones and thicking of the gall bladder wall was detected by ultrasonography (US). On the third day after admission, the presence of gas in the gall bladder and biliary tract was detected by US, plain abdominal X-ray and CT scan. The patient appeared clinically unwell, so PTGBD was carried out. Cholangiography after PTGBD showed a remarkable stenosis of the common bile duct. On the 6 th day after PTGBD, laparoscopic cholecystectomy was performed.<br> The postoperative course was good and the patient was discharged on the 14 th day after surgery.<br> We consider PTGBD and LC useful procedures for treating acute emphysematous cholecystitis.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 60 (12), 3262-3266, 1999

  日本臨床外科学会

キーワード

• 気腫性胆嚢炎
• 経皮経肝胆嚢ドレナージ
• 腹腔鏡下胆嚢摘出術

詳細情報

• CRID: 1390001204850176768
• NII論文ID: 130003601243
• NII論文ID: 10008499255
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.60.3262
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/60/12/60_12_3262/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000133693
• 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