ID 110609
Title Transcription
ゴウリュウブ ケッセキ Confluence Stone ノ 1チケンレイ
Title Alternative
A case report of confluence stone
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
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.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
59
Issue
3
Start Page
166
End Page
170
Sort Key
166
Published Date
2003-06-13
FullText File
language
jpn
TextVersion
Publisher