腹腔鏡下胆嚢摘出術が有効であった胆嚢捻転症の3例

書誌事項

タイトル別名
  • Torsion of the gallbladder
  • Report of three cases

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抄録

Laparoscopic cholecystectomy (LC) is both a popular and a standard treatment for gallstones. In spite of its popularity, however, LC is not sufficiently utilized for gallbladder (GB) torsion because GB torsion is a rare entity and difficult to diagnose preoperatively. We present herein three cases of GB torsion treated by LC. Case 1 was a 96-year-old female with abdominal pain. Case 2was a 85-year-old female with right epigastric pain. Case 3 was a 81-year-old female with epigastric pain. All three cases were diagnosed as GB torsion preoperatively by abdominal ultrasonography (US). At laparoscopy, GB torsion with a 270-degree volvulus was found in case 1, and with a 180-degree volvulus in cases 2 and 3. A standard LC was performed with a three or four ports technique. LC for GB torsion is easier than that for acute cholecystitis, because a twisted GB does not usually adhere to the liver. Image diagnosis, especially US, is helpful in distinguishing GB torsion from acute cholecystitis. If this disease is suspected, LC should be the treatment of first choice.

収録刊行物

  • Tando

    Tando 19 (2), 178-183, 2005

    Japan Biliary Association

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