Thomas S, Kumar S, Kriplani A, Kapur B M
Department of Surgery, All India Institute of Medical Sciences, New Delhi.
Jpn J Surg. 1990 Nov;20(6):696-8. doi: 10.1007/BF02471035.
A 50 year old man with a two month history of upper abdominal pain and a one month history of anorexia and weight loss, presented with icterus and evidence of peritonitis. Laparotomy revealed biliary peritonitis which had been caused by a rupture of the fundus of the gallbladder. The common bile duct was dilated and there was a large growth in the head of the pancreas with multiple hepatic metastases. A cholecystojejunostomy and gastrojejunostomy were done and the patient had an uneventful recovery.
一名50岁男性，有两个月的上腹部疼痛病史，一个月的厌食和体重减轻病史，出现黄疸和腹膜炎体征。剖腹探查发现胆汁性腹膜炎是由胆囊底部破裂引起的。胆总管扩张，胰头有一个大的肿物，并伴有多处肝转移。进行了胆囊空肠吻合术和胃空肠吻合术，患者恢复顺利。
