ID 98217
Title Transcription
ジュツゼン シンダンシエタ タンノウ ネンテンショウ ノ 1レイ
Title Alternative
A case of gallbladder torsion, correctly diagnosed preoperatively
Author
Otsuka, Toshihiro Department of Gastroenterological Center, Anan Kyoei Hospital
Ando, Michio Department of Gastroenterological Center, Anan Kyoei Hospital
Nii, Akira Department of Gastroenterological Center, Anan Kyoei Hospital
Harino, Yukari Department of Gastroenterological Center, Anan Kyoei Hospital
Masamune, Katsuhiro Department of Gastroenterological Center, Anan Kyoei Hospital
Keywords
gallbladder torsion
acute abdomen
Content Type
Journal Article
Description
We report on a case of torsion of the gallbladder, whitch was correctly diagnosed preoperatively using pre-operative imaging with ultrasound and computed tomography. A 88-year-old woman was admitted to the hospital because of diarrhea and fever. Increased levels of WBC, CRP were noted in laboratory test. An Abdominal ultrasound showed a swollen gallbladder with a thicked wall in the body and funds, floating gallbladder and a high echo level lesion with an acoustic shadow in the gallbladder. Abdominal computed tomography showed a gallbladder with a spirally twisted neck and small gass lesion. Diagnostic imaging demonstrated acute inflammatory changes in the gallbladder with an abnormal arrangement of the gallbladder. These results suggested necrotizing cholecystitis with tortion of the gallbladder. During the operation, the gallbladder was found to be enlarged and twisted 360 degrees in a clockwise direction at the neck of the gallbladder, resulting in gangrenous change. A cholecystectomy was successfully performed and the patient was discharged in good condition, 23 days after the operation.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
62
Issue
1-2
Start Page
64
End Page
68
Sort Key
64
Published Date
2006-04-25
Remark
FullText File
language
jpn