Akutna torzija žučnoga mjehura s gangrenom i kolelitijazom – rijedak slučaj
| Autor: | Leon Kunišek, Miodrag Gudelj, Marko Zelić, Dorian Kršul, Juraj Kunišek |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Acta clinica Croatica Volume 55. Issue 4. |
| ISSN: | 1333-9451 0353-9466 |
| Popis: | We report a case of a 75-year-old female with acute torsion of the gallbladder with gangrene and cholelithiasis. On admission, the patient underwent physical examination, laboratory blood analysis, abdominal ultrasound and plain abdominal x-ray. Due to the signs of acute abdomen and poor general condition of the patient, urgent surgical procedure was indicated. Intraoperatively, the gallbladder was found to be greatly enlarged, gangrenous and greatly distended with 360° clockwise torsion around its mesentery. Cholecystectomy was performed. Gallbladder torsion is a rare surgical emergency which physicians should bear in mind when encountering patients with symptoms of acute cholecystitis. The only treatment for this condition is urgent cholecystectomy with prior detorsion. The mortality rate in patients not undergoing surgery is 100%. Prikazujemo slučaj 75-godišnje bolesnice s akutnom torzijom žučnoga mjehura s gangrenom i kolelitijazom. Nakon prijma učinjen je fizikalni pregled, laboratorijska analiza krvi, ultrazvuk abdomena i RTG snimka abdomena. Zbog znakova akutnog abdomena i općenito lošeg stanja bolesnice indiciran je hitni operativni zahvat. Intraoperacijski je nađen veoma povećan, gangrenozan i distendiran žučni mjehur s torzijom oko svog mezenterija od 360 stupnjeva u smjeru kazaljke na satu te je učinjena kolecistektomija. Torzija žučnoga mjehura je rijetko kirurško hitno stanje koje liječnik mora imati na umu kod bolesnika sa simptomima akutnog kolecistitisa. Jedina terapija ovakvog stanja je hitna kolecistektomija s detorzijom. Smrtnost u bolesnika koji se ne podvrgnu operativnom zahvatu je 100%. |
| Databáze: | OpenAIRE |
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