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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
B030052000612.pdf
[fulltext] 1.7 MB
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 Shiraishi Keiko
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.
Subjects
医学 ( Other)
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/