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Perforated gangrenous cholecystitis


Authors: V. Kaplanová 1;  R. Keil 1;  J. Chudý 1;  M. Roznětinská 1;  D. Benešová 2;  M. Novotný 2;  M. Filau 3;  M. Grega 4
Authors place of work: Interní klinika 2. LF UK a FN v Motole, Praha 1;  Chirurgická klinika 2. LF UK a FN v Motole, Praha 2;  Klinika anesteziologie a resuscitace 2. LF UK a FN v Motole, Praha 3;  Ústav patologie a molekulární medicíny 2. LF UK a FN v Motole, Praha 4
Published in the journal: Gastroent Hepatol 2013; 67(1): 37-38
Category: Clinical and Experimental Gastroenterology: Case Report

Summary

In this article, the case is reported a 65-year old patient who was hospitalised for fever and abdominal pain. Abdominal ultrasound examination was performed and hilar hepatic tumor suspected and an echocardiography examination revealed pericardial effusion, which was evaluated as a paraneoplastic. Based on the examinations above, cancer was suspected and the patient´s prognosis seems to be fatal. However, through CT examination, a different serious condition was diagnosed; a subhepatic perforation was detected, and during emergency surgery, a perforated gangrenous cholecystitis was detected.

Key words:
liver tumor – cholecystitis

The author declares he has no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
4. 5. 2012

Accepted:
5. 12. 2012


Zdroje

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4. Aydin C, Altaca G, Berber I et al. Prognostic parameters for the prediction of acute gangrenous cholecystitis. J Hepatobiliary Pancreat Surg 2006; 13(2): 155–159.

5. Bennett GL, Rusinek H, Lisi V et al. CT findings in acute gangrenous cholecystitis. AJR Am J Roentgenol 2002; 178(2): 275–281.

6. Hrdlička L, Šťovíček J, Keil R et al. Obtížná diagnostika nitrobřišního karcinomu. Čes a Slov Gastoent a Hepatol 2006; 60(1): 26–28.

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8. Wu CH, Chen CC, Wang CJ et al. Discrimination of gangrenous from uncomplicated acute cholecystitis: Accuracy of CT findings. Abdom Imaging 2011; 36(2): 174–178.

9. Mok PM, Harkness MA, Hayward GK. Loss of the mucosal lining/gall-bladder wall echo: A sonographic sign of gangrenous cholecystitis. Australas Radiol 1994; 38(4): 294–297.

Štítky
Paediatric gastroenterology Gastroenterology and hepatology Surgery

Článok vyšiel v časopise

Gastroenterology and Hepatology

Číslo 1

2013 Číslo 1
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