陶器様胆嚢・充満型胆石症の1例

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An 82-year-old woman was admitted because of a fever and a sensation of abdominal fullness. She had right hypochondralgia and tenderness in the right hypochondral region. Blood examination showed a high WBC count, an abnormally increased CRP, and a slightly increase total bilirubin values. Abdominal ultrasonography showed calcification of the gallbladder (GB) wall, but the inside of the GB was not visualized because of filling stones. Abdominal CT showed calcification of the GB wall and filling stones inside the GB. Thus, a diagnosis of acute exacerbation of porcelain GB and filling-type cholecystolithiasis was made and an emergency operation was performed on the next day after her admission. The consistency of the GB wall was stony hard, and the GB and cystic duct were filled with stones. The extirpated GB was filled with stones without any space between them and the wall was severely calcified. The stone type was mixed stones in cholesterol stones. The patient was discharged following an uneveniful recovery without any complications. Porcelain GB is a rare disease and has been reported to be especially complicated with GB cancer, and consequently surgery is always indicated.
山口大学医学会の論文
2002-08-31