気腫性胆嚢炎を併発した胆嚢捻転症の１例

• 松浦 一生

  本永病院外科

• 野間 浩介

  本永病院外科

• 馬場 信年

  広島共立病院外科

• 高永甲 文男

  広島共立病院外科

• 峠 哲哉

  広島大学原爆放射線医科学研究所腫瘍外科

書誌事項

タイトル別名

• A CASE OF TORSION OF THE GALLBLADDER WITH ACUTE EMPHYSEMATOUS CHOLECYSTITIS

抄録

We report a difficult-to-diagnose torsion of the gallbladder with acute emphysematous cholecystitis. An 87-year-old woman was admitted to the hospital because of fever, appetite loss, nausea, and vomiting. The temperature was 37.8°C. On physical examination no jaundice was noted. The abdomen was flat, but there were tenderness and muscular gurding in the right hypochondriac region. Abdominal CT scan and abdominal ultrasonography revealed gas formation in the swollen gallbladder. Based on these findings, a diagnosis of acute emphysematous cholecystitis was made, and an operation was performed. At laparotomy, there was bloody ascites with bad smell below the right diaphragma, around the gallbladder, and the gallbladder was swollen, dark-red in color and twisted counter-clockwise by 270 degree. Then a cholecystectomy and drainage were performed. These findings suggest that circulatory dysfunction due to the torsion of the gallbladder caused acute emphysematous cholecystitis.

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 64 (6), 1450-1454, 2003

  日本臨床外科学会

キーワード

• 気腫性胆嚢炎
• 胆嚢捻転症

詳細情報

• CRID: 1390001204844951808
• NII論文ID: 130003432680
• NII論文ID: 10011469122
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.64.1450
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/64/6/64_6_1450/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2003286509
• 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