Hemoperitoneum and sepsis from transhepatic gallbladder perforation of acute cholecystitis: A case report.

Autor:	Chikamori F; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Yukishige S; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Ueta K; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Takasugi H; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Mizobuchi K; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Matsuoka H; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Hokimoto N; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Yamai H; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Onishi K; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Tanida N; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Hamaguchi N; Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan., Iwasaki T; Department of Gastroenterology, Japanese Red Cross Kochi Hospital, Kochi, Japan.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2020 Sep 08; Vol. 15 (11), pp. 2241-2245. Date of Electronic Publication: 2020 Sep 08 (Print Publication: 2020).
DOI:	10.1016/j.radcr.2020.08.064
Abstrakt:	We report a case of hemoperitoneum and sepsis from transhepatic gallbladder perforation in an 87-year-old male with acute cholecystitis who had past history of endoscopic sphincterotomy for common bile duct stone. Contrast-enhanced computed tomography (CT) showed intrahepatic and subcapsular low density areas. A wall defect of gallbladder was seen in coronal and sagittal - sections at the liver bed. Fluids obtained through the paracentesis were hemorrhagic. Percutaneous transhepatic gallbladder drainage (PTGBD) was attempted. First cholangiography revealed an orifice of fistula. Further injection of contrast medium drained into the intrahepatic secondary abscess and intraperitoneal cavity confirming the diagnosis of transhepatic gallbladder perforation. We conclude that contrast-enhanced CT with coronal and sagittal - sections and cholangiography via PTGBD tube are useful to confirm diagnosis of transhepatic gallbladder perforation. (© 2020 Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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