急性胆嚢炎に合併した肝梗塞の一救命例

概要

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Hepatic infarction is an extremely rare condition due to the double blood supply of the liver from both the hepatic artery and the portal vein, and its antemortem diagnosis is said to be difficult.<BR>An 87-year-old female patient presented to our department with severe RUQ pain, and was admitted because of gallstones and acute cholecystitis, The next day, liver function tests were notably abnormal, and nearly the entire inferior region of the right lobe appeared as a LDA on CT, and we diagnosed the LDA as hepatic infarction by dynamic CT.<BR>The hepatic infarction was thought to be caused by several factors including narrowing of the hepatic artery, externalcompression by the swollen GB, and DIC etc.<BR>Therefore, in patients with a similar clinical picture, it seems necessary to keep the possibility of hepatic infarction in mind to facilitate early diagnosis and treatment.
社団法人日本肝臓学会の論文