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01121 Journal of Nara Medical Association >
Vol.45 No.4 >
このアイテムの引用には次の識別子を使用してください:
http://hdl.handle.net/10564/1637
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タイトル: | 胆嚢捻転症の1手術例 |
その他のタイトル: | A CASE OF GALLBLADDER TORSION |
著者: | 前田, 重人 吉田, 英晃 越智, 祥隆 薮内, 裕也 |
キーワード: | gallbladder torsion acute cholecystitis |
発行日: | 1994年8月31日 |
出版者: | 奈良医学会 |
引用: | 奈良医学雑誌 Vol.45 No.4 p.341-346 |
抄録: | A case of torsion of the gallbladder is reported. A 74-year-old woman presented with a complaint of sudden right hypochondralgia. Physical examination on admission revealed a distended abdomen with nausea, vomiting and fever. The patient was
not jaundiced and her spine was kyphotic. A sonogram showed gangrenous cholecystitis with a gallbladder stone. We administered antibiotics, however her general condition did not improve. On the 7th day of hospitalization an operation was performed. At surgery, an enlarged necrotic gallbladder was found which had rotated 360° in a clockwise direction. Cholecystectomy was carried out with an uneventful postoperative recovery. Kyphosis and the gallbladder stone have been suggested as predisposing causes of torsion in addition to floating gallbladder. When torsion of the gallbladder is suspected, early laparotomy is mandatory. |
URI: | http://hdl.handle.net/10564/1637 |
ISSN: | 04695550 13450069 |
出現コレクション: | Vol.45 No.4
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