Bile leakage through the gallbladder due to venous thrombosis results in a case of biliary peritonitis

• Oku Takatomi

  Department of Internal Medicine, Obihiro Daiichi Hospital

• Kubo Yasunori

  Department of Internal Medicine, Obihiro Daiichi Hospital

• Miseki Tetsuya

  Department of Internal Medicine, Obihiro Daiichi Hospital

• Abe Tomoya

  Department of Surgery, Obihiro Daiichi Hospital

Bibliographic Information

Other Title

• 静脈血栓が原因と考えられた漏出性胆汁性腹膜炎の1例

Abstract

An 85-year-old woman with right hypo-chondralgia was admitted to our hospital for a close examination. Samples obtained during abdominal paracentesis showed bile-like ascites. Emergent laparoscopy was performed to test for duodenal or gallbladder perforation. No signs of inflammation or apparent perforation were found in the gallbladder; however, there was bile leakage from the gallbladder fundus. The patient, who was diagnosed with biliary peritonitis due to transudation of bile from the gallbladder, underwent laparoscopic cholecystectomy. Upon identifying a thrombus formed in the branch of a subserosal vein, we hypothesized that ischemia may have also contributed to the pathogenesis of the peritonitis. In similar cases, prognosis using a laparoscopic approach is favorable if peritonitis is due to non-infected bile. Although leakage of bile from the gallbladder is difficult to diagnose, we recommend it be considered in cases of acute abdomen, and appropriate operative procedures discussed.<br>

Journal

• Tando

  Tando 25 (1), 99-106, 2011

  Japan Biliary Association

Keywords

• biliary peritonitis
• venous thrombosis

Details

• CRID: 1390282679324462592
• NII Article ID: 130004545378
• NII Article ID: 10030362030
• NII Book ID: AN10062001
• DOI: 10.11210/tando.25.99
• ISSN: 18836879
• ISSN: 09140077
• Web Site: https://search.jamas.or.jp/link/ui/2011162813
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed