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タイトル内視鏡的乳頭括約節切開術後に敗血症および播種性血管内凝固症候群を併発した胆石症例
タイトルヨミナイシキョウテキ ニュウトウ カツヤクセツ セッカイ ジュツゴ ノ ハイケッショウ オヨビ ハンシュセイ ケッカンナイ ギョウコ ショウコウグン オ ヘイハツ シタ タンセキ ショウレイ
タイトル別表記A Case of Cholelithiasis Complicated with Sepsis and DIC after Endoscopic Sphincterotomy
作成者池田, 美雪
秋山, 哲司
入江, 和彦
古井, 俊文
近藤, 哲
中村, 正明
播磨, 健三
野口, 隆義
古田, 智治
沖田, 極
作成者ヨミイケダ, ミユキ
アキヤマ, テツジ
イリエ, カズヒコ
フルイ, トシフミ
コンドウ, テツ
ナカムラ, マサアキ
ハリマ, ケンゾウ
ノグチ, タカヨシ
フルタ, トモハル
オキタ, キワム
作成者別表記Ikeda, Miyuki
Akiyama, Tetsushi
Irie, Kazuhiko
Furui, Toshifumi
Kondou, Tetsu
Nakamura, Masaaki
Harima, Kenzou
Noguchi, Takayoshi
Furuta, Tomoharu
Okita, Kiwamu
作成者所属山口大学医学部
内容記述(抄録等)We report a case of cholelithiasis which had serious complications after endoscopic sphincterotomy (EST). An 82-year-old male was admitted to our institution for the treatment of obstructive jaundice resulted from choledocholithiasis. He had carried a history of partial gastrectorr.y for early gastric cancer (II a) and reconstruction of the gastrointestinal tract by Billroth I. Soon after admission, EST was performed; however, lithotomy was failed at that moment. Three days after EST. his condition was impaired very much because of sepsis and DIC. Immediately after endoscopic nasobilary drainage, administration of anticoagulants and antibiotics was carried out. In accordance with improvement of his condition, lithotomy was performed in sufficient manner. As for possible etiology of sepsis occurred, either bending of the common bile duct influenced by gastrectomy in the past or periampullary diverticulum seemed to be major cause. In addition, it might be considered that co-existence of abdominal aortic aneurysm played an important role for development of DIC. We also described the 5 years' bacteriological investigation of the bile from the patients carrying biliary tract disorders experienced in our institution, with special references reported by other investigators. As a result, recent increase of detection rate of Pseudomonas aeruginosa and Enierococcus, which were also found in the bile of this patient, should be noted from view point of chemotherapy.
本文言語jpn
著者キーワード内視鏡的乳頭括約筋切開術
敗血症
播種性血管内凝固症候群
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
42
2
開始ページ155
終了ページ161
発行日1993-04
著者版/出版社版その他
リポジトリIDB030042000208
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030042000208