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ID 110524
タイトルヨミ
キュウセイ タンノウエン デ ハッショウシ ジュツゼン ニ DIC トナッタ タンノウセン ヘンペイ ジョウヒガン ノ 1レイ
タイトル別表記
Adenosquamous carcinoma of the gallbladder with acute cholecystitis and pre-operative disseminated intravascular coagulation (DIC) : A case report
著者
佐々木, 克哉 徳島大学医学部器官病態修復医学講座臓器病態外科学分野
三宅, 秀則 徳島大学医学部器官病態修復医学講座臓器病態外科学分野
篠原, 永光 徳島大学医学部器官病態修復医学講座臓器病態外科学分野
藤井, 正彦 徳島大学医学部器官病態修復医学講座臓器病態外科学分野
安藤, 勤 徳島大学医学部器官病態修復医学講座臓器病態外科学分野
田代, 征記 徳島大学医学部器官病態修復医学講座臓器病態外科学分野 徳島大学 教育研究者総覧
キーワード
acute cholecystitis
adenosquamous carcinoma of gallbladder
disseminated intravascular coagulation (DIC)
資料タイプ
学術雑誌論文
抄録
We report a case of resected adonosquamous carcinoma of the gallbladder with acute cholecystitis and preoperative DIC. A 79-year-old woman was admitted to our hospital because of acute cholecystitis due to cystic duct obstruction by carcinoma of the gallbladder. There were high fever and henns ‘egg-sized tumor with severe tenderness on the right hypochondrium. Based on various examinations, a diagnosis advanced crcinoma of the gallbladder (Hinf3) was determined. Until the operation, because of exacerbation of acute cholecystitis, DIC occurred. The day before operation, percutaneus transhepatic gallbladder drainage was done. Then partial liver segmentectomy (S4a and S5) with cholecystectomy was carried out. Direct infiltration to the liver was observed. Histopathologically, the gallbladder tumor was adenosquamous carcinoma. After the operation, she recovered from DIC. But metastatic lymphnodes around common bile duct were enlarged rapidly, and obstructive jaundice appeared. On 55th day after the operation, she died because of peritonitis carcinomatosa 55 postoperative days. It was considered that preoperative acute cholecystitis, DIC and postoperative obstructive jaundice resulted from rapid growth of adenosquamous carcinoma.
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
58
1-2
開始ページ
40
終了ページ
45
並び順
40
発行日
2002-04-25
備考
著者英表記誤記あり(誤)Nagamitsu Shinohara→(正)Hisamitsu Shinohara
EDB ID
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系
病院