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[骨科手术后急性期非结石性坏疽性胆囊炎:病例报告]

[Acute acalculous gangrenous cholecystitis in postoperative period after orthopedic surgery: about a case].

作者信息

Cheikhrouhou Hichem, Jmal Karim, Kharrat Amine, Keskes Meriem, Karoui Abdelhamid

机构信息

Département d'Anesthésie, CHU Habib Bourguiba, Sfax, Tunisie.

出版信息

Pan Afr Med J. 2017 May 2;27:8. doi: 10.11604/pamj.2017.27.8.11526. eCollection 2017.

Abstract

Postoperative acalculous gangrenous cholecystitis is a serious and severe complication, especially in patients hospitalized in the Department of Reanimation. It occurs most often during vascular surgery or major digestive surgery, a polytrauma, in a context septic or in a context of shock. We report the case of a 74 year man who underwent surgery for femoral neck fracture. On the sixth postoperative day, he developed acute cholecystitis. Radiological examinations confirmed acalculous cholecystitis. After emergency cholecystectomy, anatomo-pathologic study confirmed the diagnosis of acalculous gangrenous cholecystitis.

摘要

术后无结石性坏疽性胆囊炎是一种严重的并发症,尤其在重症监护病房住院的患者中。它最常发生于血管手术、大型消化手术、多发伤、脓毒症或休克患者中。我们报告一例74岁男性患者,因股骨颈骨折接受手术。术后第六天,他出现了急性胆囊炎。影像学检查证实为无结石性胆囊炎。急诊胆囊切除术后,解剖病理学研究证实了无结石性坏疽性胆囊炎的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e527/5511717/de7ac6a88f4d/PAMJ-27-8-g001.jpg

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