Spontaneous gallbladder perforation,pericholecystic abscess and cholecystoduodenal fistula as the first manifestations of gallstone disease
Spontaneous gallbladder perforation, pericholecystic abscess and cholecystoduodenal fistula as the first manifestations of gallstone disease作者机构:Gastroenterology UnitDepartment of MedicineRaja Isteri Pengiran Anak Saleha(RIPAS)Hospital Gastroenterology UnitDepartment of RadiologyRaja Isteri Pengiran Anak Saleha(RIPAS)Hospital Gastroenterology UnitDepartment of SurgeryRaja Isteri Pengiran Anak Saleha(RIPAS)Hospital
出 版 物:《Hepatobiliary & Pancreatic Diseases International》 (国际肝胆胰疾病杂志(英文版))
年 卷 期:2009年第8卷第2期
页 面:212-214页
核心收录:
学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题:acute cholecystitis biliary disease complication liver abscess
摘 要:BACKGROUND:Gallstone disease is common,and complications that are frequently encountered include acute cholecystitis and acute pancreatitis,but rarely gallbladder perforation. METHOD:Data were retrospectively collected from clinical case notes and a literature review is presented. RESULTS:A 72-year-old lady presented with spontaneous gallbladder perforation,pericholecystic abscess and cholecystoduodenal fistula as the first manifestations of gallstone *** was previously well and had no abdominal *** condition was successfully managed with initial antibiotic therapy followed by interval cholecystectomy and fistula repair. CONCLUSIONS:Our case highlighted some uncommon but severe complications which occurred simultaneously as the first manifestations of previously asymptomatic gallstone *** complications need to be considered in patients suspected of intra-abdominal sepsis,even when there are no characteristic symptoms.