ID | 98217 |
タイトルヨミ | 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
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タイトル別表記 | A case of gallbladder torsion, correctly diagnosed preoperatively
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著者 |
大塚, 敏広
阿南共栄病院消化器病センター
安藤, 道夫
阿南共栄病院消化器病センター
新居, 章
阿南共栄病院消化器病センター
開野, 友佳理
阿南共栄病院消化器病センター
正宗, 克浩
阿南共栄病院消化器病センター
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キーワード | gallbladder torsion
acute abdomen
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資料タイプ |
学術雑誌論文
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抄録 | 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.
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掲載誌名 |
四国医学雑誌
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ISSN | 00373699
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cat書誌ID | AN00102041
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出版者 | 徳島医学会
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巻 | 62
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号 | 1-2
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開始ページ | 64
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終了ページ | 68
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並び順 | 64
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発行日 | 2006-04-25
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備考 | |
フルテキストファイル | |
言語 |
jpn
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部局 |
病院
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