肝内胆管穿破を起こした胆嚢癌の1例  [in Japanese] A CASE OF PERFORATION OF THE BILE DUCT IN THE LIVER FOR A CANCER OF THE GALLBLADDER  [in Japanese]

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Abstract

今回われわれは肝内胆管よりの胆汁漏出による胆汁性腹膜炎の1例を経験した.症例は81歳の男性,腹痛を主訴として来院,入院時黄疸を認めたが,腹膜炎の所見は認められなかった.入院2日目より腹部膨満が出現し腹水も現れた.腹水の増加があったため腹腔穿刺,胆汁性腹膜炎の診断にて緊急手術となった.<br> 術中所見では胆嚢癌により十二指腸間膜内のリンパ節が腫大し総胆管を高度に狭窄し,肝左葉の肝内胆管が穿破,胆汁が漏出していた.穿破部の肝を楔状に切除し,穿破部を縫合閉鎖,胆嚢内にドレナージチューブを挿入して手術を終えた.

We experienced bilialy peritonitis from the bile duct in the liver.<br> An 81-year-old man was admitted to the hospital because of an abdominal pain. He was icteric but had panperitonitis. On and after the second hospital day, abdominal distension and ascites appeared. So we punctured ascites and conducted an emergency operation under a diagnosis of biliary panperitonitis.<br> It mas found that the common bile duct was obstructed by swollen lymph nodes for cancer of the gallbladder and bile was exudated from the bile duct on the left liver.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 58(9), 2131-2134, 1997-09-25

    Japan Surgical Association

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