一時的下大静脈フィルター留置下，腹腔鏡下胆摘を施行した肺塞栓症の１例

• 杉本 琢哉

  岐阜赤十字病院外科

• 鬼束 惇義

  岐阜赤十字病院外科

• 片桐 義文

  岐阜赤十字病院外科

• 飯田 豊

  岐阜赤十字病院外科

• 宮原 利行

  岐阜赤十字病院外科

• 古川 舞子

  岐阜赤十字病院外科

書誌事項

タイトル別名

• A CASE OF LAPAROSCOPIC CHOLECYSTECTOMY FOR ACUTE CHOLECYSTITIS IN A PATIENT WITH PULMONARY EMBOLISM BY PLACING A TEMPORARY IVC FILTER

抄録

A 76-year-old woman was admitted to the hospital because of chest discomfort and dyspnea on arising, when the PO₂ was 45.5mmHg in blood gas analysis. Defects in the bilateral lungs were recognized in pulmonary blood flow scintigraphy. So we diagnosed the case as pulmonary embolism and started thrombolytic and anticoagulation therapy. Her symptoms gradually subsided and the PO₂ improved to be 97.3mmHg, but abdominal pain and jaundice developed. Blood examinations showed elevations of WBC and CRP as well as liver dysfunction. Acute cholecystitis was diagnosed by abdominal US, and CT scan and percutaneous transhepatic gallbladder drainage was carried out. Then anticoagulation therapy was interrupted to prepare a scheduled laparoscopic cholegstectomy, and a temporary inferior vena cava filter was placed. Thereafter laparoscopic cholecystectomy was perfor-med. The patient's postoperative course was uneventful. Anticoagulation therapy was resumed and the IVC filter was removed. We do not recognize any recurrence of deep vein thrombosis and pulmonary embolism at present.

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 67 (6), 1252-1256, 2006

  日本臨床外科学会

キーワード

• 肺塞栓
• 腹腔鏡下胆嚢摘出術
• 下大静脈フィルター

詳細情報

• CRID: 1390001204849467520
• NII論文ID: 130003605026
• NII論文ID: 10018199426
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.67.1252
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/6/67_6_1252/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006269060
• 本文言語コード: ja
• 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