年轻成人中由头孢曲松引起的胆囊假结石症
Gallbladder pseudolithiasis caused by ceftriaxone in young adult.
作者信息
Choi Yoon Young, Jung Yun Hwa, Choi Su Mun, Lee Chul Seung, Kim Daeyong, Hur Kyung Yul
机构信息
Department of Surgery, The Armed Forces Gangneung Hospital, Gangneung, Korea.
出版信息
J Korean Surg Soc. 2011 Dec;81(6):423-6. doi: 10.4174/jkss.2011.81.6.423. Epub 2011 Nov 25.
Abstract
Ceftriaxone is a commonly used antibiotic due to some of its advantages. Reversible gallbladder (GB) sludge or stone has been reported after ceftriaxone therapy. Most of these patients have no symptom, but the GB sludge or stone can sometimes cause cholecystitis. We experienced two patients who had newly developed GB stones after ceftriaxone therapy for diverticulitis and pneumonia, and this resolved spontaneously 1 month after discontinuation of the drug. Awareness of this complication could help to prevent unnecessary cholecystectomy.
摘要
由于某些优点，头孢曲松是一种常用的抗生素。已有报道称，头孢曲松治疗后会出现可逆性胆囊（GB）泥沙样沉淀或结石。这些患者大多数没有症状，但GB泥沙样沉淀或结石有时会引起胆囊炎。我们遇到了两名患者，他们在接受头孢曲松治疗憩室炎和肺炎后新出现了GB结石，停药1个月后结石自行消退。认识到这种并发症有助于预防不必要的胆囊切除术。
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