A case of acute emphysematous cholecystitis with typical imaging findings
山口医学 Volume 52 Issue 6
Page 311-317
published_at 2003-12-31
Title
典型的な画像所見を呈した急性気腫性胆嚢炎の1例
A case of acute emphysematous cholecystitis with typical imaging findings
Creators
Sato Masako
Creators
Kishikawa Hirofumi
Creators
Sakaguchi Eiki
Creators
Iida Takeshi
Creators
Kaino Seiji
Creators
Tanabe Mitsuhiko
Creators
Sasayama Tetsuro
Creators
Itoh Tadahiko
Source Identifiers
Creator Keywords
気腫性胆嚢炎
経皮経肝胆嚢ドレナージ
PTGBD
Acute emphysematous cholecystitis is a rare disease caused by organisms that produce gas that leaks into the gallbladder lumen and becomes visible on imaging examinations. Here, we report a case of acute emphysematous cholecystitis with a typical presentation. A 73-year-old woman presented with abdominal pain to the emergency department at our hospital. Her temperature was 37.6 ℃ and blood pressure was 126/71mm Hg. On physical examination, her abdomen was flat, soft, and diffusely tender without muscular guarding or rebound tenderness. Laboratory data revealed the following: WBC 12300/mm^3, CRP 7.30 mg/dL, T-bil 1.5 mg/dL, AST 512 IU/L, ALT 297 IU/L, γ-GTP 110 IU/L, ALP 401 U/L. Abdominal ultrasound scan, plain abdominal film, and abdominal computed tomographic images demonstrated gas within the gallbladder wall and intrahepatic ducts. The symptoms and image findings suggested acute emphysematous cholecystitis. Percutaneous transhepatic gallbladder drainage was performed immediately to confirm the diagnosis. Clostridium perfringens was identified in bile culture. We performed laparoscopic cholecystectomy after the patient's general condition improved.
Languages
jpn
Resource Type
journal article
Publishers
山口大学医学会
Date Issued
2003-12-31
Rights
本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである()
File Version
Version of Record
Access Rights
open access
Relations
[ISSN]0513-1731
[NCID]AN00243156
[isVersionOf]
[NAID]http://ci.nii.ac.jp/naid/110002773866/