Acute acalculous cholecystitis in acute cerebrovascular disease
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概要
- 論文の詳細を見る
Objective : Acute acalculous cholecystitis (AAC) has rarely been reported in patients with cerebrovascular disease (CVD), however, its pathogenetic mechanisms remain incompletely understood or speculative. The aim of this study is to elucidate the clinical features of AAC in patients with CVD. Methods : All medical records of 252 patients who were admitted to the Odawara Municipal Hospital with acute CVD between April 2001 to November 2002 were reviewed retrospectively to identify patients who developed acute cholecystitis during hospitalization, and their clinical information, including sex, age, underling disorders, initial symptoms, physical condition, dietary status, laboratory data and ultrasonographic findings was evaluated. Results : Seven of 252 patients with CVD were identified to have a diagnosis of acute cholecystitis. Six of 7 patients (6 men, mean age 61.8 ± 8.7 years) had AAC. The overall incidence of AAC among patients with CVD was estimated 2.4%, and AAC was more common in atherothrombosis (9.4%) than in other types of stroke. Fever was the most common initial symptom of AAC (83.3%), while right hypochondrial pain was less frequent (33.3%). Routine blood tests showed mild liver dysfunction and inflammatory changes. All patients with AAC showed dilatation of the gallbladder on transabdominal ultrasonography. Conclusion : AAC may be an important complication in patients with CVD. AAC should be recognized as a potential cause of fever during the acute stage of CVD, particularly in atherothrombosis.
- 北里大学の論文
- 2006-03-31
著者
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SUZUKI Kosuke
Department of Chemical Engineering and Materials Science, Doshisha University
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Suzuki Kosuke
Department Of Neurology Kitasato University School Of Medicine
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Hamada Junichi
Department of Clinical Pharmacology, Division of Pathological science, Kyoto Pharmaceutical Universi
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Koizumi Kenzo
Department Of Neurology Kitasato University School Of Medicine
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Koizumi Kenzo
Department Of Medicine (neurology) Kitasato University School Of Medicine
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HOSHINO Kazuhiko
Department of Chemistry, Faculty of Engineering, Gunma University
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Hamada Junichi
Kitasato Univ. School Of Medicine
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Hamada Junichi
Department Of Clinical Pharmacology Division Of Pathological Science Kyoto Pharmaceutical University
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Hamada Junichi
Department Of Neurology Kitasato University School Of Medicine
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Sakai Fumihiko
Kitasato Univ. School Of Medicine
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Sakai Fumihiko
Department Of Neurology Kitasato University School Of Medicine
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Sakai Fumihiko
Department Of Medicine (neurology) Kitasato University School Of Medicine
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Akutsu Tsugio
Department of Neurology, Kitasato University School of Medicine
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Akutsu Tsugio
Department Of Neurology Kitasato University School Of Medicine
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Hoshino Kazuhiko
Department Of Gastroenterology Odawara Municipal Hospital
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Suzuki Kosuke
Department Of Applied Chemistry Graduate School Of Engineering The University Of Tokyo
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SAKAI FUMIHIKO
Department of Internal Medicine, School of Medicine, Kitasato University
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