経皮経肝的胆嚢ドレナージが有効であった急性気腫性胆嚢炎の1例

• 小西 一朗

  富山市民病院外科

• 上田 順彦

  富山市民病院外科

• 広野 禎介

  富山市民病院外科

書誌事項

タイトル別名

• A CASE OF ACUTE EMPHYSEMATOUS CHOLECYSTITIS TREATED WITH PERCUTANEOUS TRANSHEPATIC GALLBLADDER DRAINAGE

抄録

A 78-year-old man was seen at the hospital because of right hypochondralgia. Abdominal imaging revealed an air in the gallbladder and intrahepatic bile duct. Abdominal ultrasonography revealed a high echogenic area where coincided with the gallbladder and another high echogenic area due to gas in the intrahepatic bile duct. Under a diagnosis of acute emphysematous cholecystitis (AEC), percutaneous transhepatic gallbladder drainage (PTGBD) was carried out immediately. With cultivation of bile juice collected during drainage, Clostridium perfringens was detected. Fifteen days after the drainage, a cholecystectomy with mini-laparotomy was carried out easily. The treatment of choice for AEC has been considered to be early surgery because of high risk of gangrene and perforation of the gallbladder wall, therefore PTGBD has been thought to be contraindication. In this patient, PTGBD was chosen for the initial intervention and the post-drainage course was uneventful. It is considered that PTGBD can be employed for AEC in the majority of the cases.

収録刊行物

• 日本臨床外科医学会雑誌

  日本臨床外科医学会雑誌 58 (7), 1602-1606, 1997

  日本臨床外科学会

キーワード

• 急性気腫性胆嚢炎

詳細情報

• CRID: 1390282680291385984
• NII論文ID: 130003600557
• NII論文ID: 10008528896
• NII書誌ID: AN00198696
• DOI: 10.3919/ringe1963.58.1602
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/58/7/58_7_1602/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1998015452
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  • CiNii Articles
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