ID 110524
Title Transcription
キュウセイ タンノウエン デ ハッショウシ ジュツゼン ニ DIC トナッタ タンノウセン ヘンペイ ジョウヒガン ノ 1レイ
Title Alternative
Adenosquamous carcinoma of the gallbladder with acute cholecystitis and pre-operative disseminated intravascular coagulation (DIC) : A case report
Author
Sasaki, Katsuya Department of Digestine Pediatric Surgery, The University of Tokushima School of Medicine
Miyake, Hidenori Department of Digestine Pediatric Surgery, The University of Tokushima School of Medicine
Shinohara, Hisamitsu Department of Digestine Pediatric Surgery, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory
Fujii, Masahiko Department of Digestine Pediatric Surgery, The University of Tokushima School of Medicine
Ando, Tsutomu Department of Digestine Pediatric Surgery, The University of Tokushima School of Medicine
Tashiro, Seiki Department of Digestine Pediatric Surgery, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory
Keywords
acute cholecystitis
adenosquamous carcinoma of gallbladder
disseminated intravascular coagulation (DIC)
Content Type
Journal Article
Description
We report a case of resected adonosquamous carcinoma of the gallbladder with acute cholecystitis and preoperative DIC. A 79-year-old woman was admitted to our hospital because of acute cholecystitis due to cystic duct obstruction by carcinoma of the gallbladder. There were high fever and henns ‘egg-sized tumor with severe tenderness on the right hypochondrium. Based on various examinations, a diagnosis advanced crcinoma of the gallbladder (Hinf3) was determined. Until the operation, because of exacerbation of acute cholecystitis, DIC occurred. The day before operation, percutaneus transhepatic gallbladder drainage was done. Then partial liver segmentectomy (S4a and S5) with cholecystectomy was carried out. Direct infiltration to the liver was observed. Histopathologically, the gallbladder tumor was adenosquamous carcinoma. After the operation, she recovered from DIC. But metastatic lymphnodes around common bile duct were enlarged rapidly, and obstructive jaundice appeared. On 55th day after the operation, she died because of peritonitis carcinomatosa 55 postoperative days. It was considered that preoperative acute cholecystitis, DIC and postoperative obstructive jaundice resulted from rapid growth of adenosquamous carcinoma.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
58
Issue
1-2
Start Page
40
End Page
45
Sort Key
40
Published Date
2002-04-25
Remark
著者英表記誤記あり(誤)Nagamitsu Shinohara→(正)Hisamitsu Shinohara
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences
University Hospital