直近一年間の累計
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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
タイトル別表記
A case of gallbladder torsion, correctly diagnosed preoperatively
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
キーワード
gallbladder torsion
acute abdomen
資料タイプ
学術雑誌論文
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.
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
62
1-2
開始ページ
64
終了ページ
68
並び順
64
発行日
2006-04-25
備考
フルテキストファイル
言語
jpn
部局
病院