| ID | 110609 |
| Title Transcription | ゴウリュウブ ケッセキ Confluence Stone ノ 1チケンレイ
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| Title Alternative | A case report of confluence stone
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| Author |
Matsuyama, Kazuo
Department of Surgery, Tokushima Prefectural Central Hospital
Hayashi, Naohiko
Department of Surgery, Tokushima Prefectural Central Hospital
Satoh, Hirohiko
Department of Surgery, Tokushima Prefectural Central Hospital
Watanabe, Mie
Department of Surgery, Tokushima Prefectural Central Hospital
Yoshida, Osamu
Department of Surgery, Tokushima Prefectural Central Hospital
Tabuchi, Hiroshi
Department of Surgery, Tokushima Prefectural Central Hospital
Tsuchihiro, Noriyuki
Department of Surgery, Tokushima Prefectural Central Hospital
Fujino, Ryouzo
Department of Surgery, Tokushima Prefectural Central Hospital
Nagano, Takashi
Department of Surgery, Tokushima Prefectural Central Hospital
Matsuzaki, Takayo
Department of Surgery, Tokushima Prefectural Central Hospital
|
| Keywords | confluence stone
biliobiliary fistula
Mirizzi syndrome
patchgraft
|
| Content Type |
Journal Article
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| Description | Confluence stone is a rare disease that is difficult to diagnose before surgery and thattend to accompany intraoperative biliary tract injury and postoperative stenosis, unexpectively.We have report a case of confluence stone.The patient was 67-year-old woman. During treatment for cholecystolithiasis at anotherhospital, she had upper abdominal pain three times without fever up and jaundice. Shewas reffered to our hospital for a detailed examination. Ultrasonography, CT and endoscopicretrograde cholangiopancreatography (ERCP) allowed a diagnosis of common bileduct stenosis caused by confluence stone. Laparotomy was then performed. No malignancywas shown despite of seveve cholecystitis. Thus cholecystectomy was carried out,then the biliary stenosis was repaired by patch graft method.It is known that confluence stone arise biliostasis with the progression of chroniccholecystitis. Therefore, in cases of severe chronic cholecystitis we should consider thepossibility of the confluence stone and take care of the biliary tract injury and postoperativestenosis.
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| Journal Title |
四国医学雑誌
|
| ISSN | 00373699
|
| NCID | AN00102041
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| Publisher | 徳島医学会
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| Volume | 59
|
| Issue | 3
|
| Start Page | 166
|
| End Page | 170
|
| Sort Key | 166
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| Published Date | 2003-06-13
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| FullText File | |
| language |
jpn
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| TextVersion |
Publisher
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