直近一年間の累計
アクセス数 : ?
ダウンロード数 : ?
ID 110519
タイトルヨミ
タンノウ ネンテンショウ ノ 2レイ
タイトル別表記
Two cases of torsion of the gallbladder
著者
真鍋, 靖 田岡病院外科
吉岡, 一夫 田岡病院外科
柳田, 淳二 田岡病院外科
キーワード
torsion
volvulus
floating
gallbladder
diagnosis
資料タイプ
学術雑誌論文
抄録
Torsion of the gallbladder is a rare entity and pre-operative diagnosis of the disease is uncommon. Since it was first described by A.V. Wendel in 1898, about 400 cases have been reported in the literature. Two cases of torsion of the gallbladder were presented. First case was 82 year old male who was admitted with 48 hour history of right upper quadrant abdominal pain, fever, and vomiting. On physical examination there was right upper quadrant tenderness with muscle guarding and rebound tenderness. An abdominal ultrasonogram and CT showed a distended gallbladder with thickness of the wall and a stone. A diagnosis of cholecystitis due to the stone was made and conservative therapy was tried. But the condition didn’t become better and a cholecystectomy was performed 2days later. The gallbladder was found to be necrotic with a 360 degree in an anticlock wise direction. Post operative recovery was unremarkable and the patient discharged at 12 days. Second case was 80 year old female who was admitted with 11 hour history of right upper quadrant abdominal pain and vomiting. A physical examination was similar to the first case. An abdominal ultrasonogram showed a distended and floating gallbladder. A diagnosis of torsion of the gallbladder was made without CT and a cholecystectomy was performed immediately. The gallbladder was found to be necrotic with a 360 degree in an anticlock wise direction. Post operative recovery was unremarkable and the patient discharged at 16 days.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
57
6
開始ページ
243
終了ページ
246
並び順
243
発行日
2001-12-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版