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

DOI Web Site 12 References

Bibliographic Information

Other Title
  • 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

Search this article

Abstract

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.

Journal

References(12)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top