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坏疽性胆囊炎:糖尿病性神经病变患者中一种隐匿但可能致命的疾病。病例报告。

Gangrenous cholecystitis: A silent but potential fatal disease in patients with diabetic neuropathy. A case report.

作者信息

Mehrzad Melorin, Jehle Charles C, Roussel Lauren O, Mehrzad Raman

机构信息

Department of Plastic and Reconstructive Surgery, Rhode Island Hospital, Brown University, Providence, RI 02903, United States.

出版信息

World J Clin Cases. 2018 Dec 6;6(15):1007-1011. doi: 10.12998/wjcc.v6.i15.1007.

DOI:10.12998/wjcc.v6.i15.1007
PMID:30568955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6288495/
Abstract

Gangrenous cholecystitis (GC) is a severe and potentially deadly complication of acute cholecystitis. We present a 83-year-old gentleman with a past medical history of type 2 diabetes mellitus with significant associated neuropathy, presenting to a community hospital in a major metropolitan area with 10 days nausea and vomiting and a benign abdominal exam. While the patient was admitted for hyperglycemia, he was subsequently found to have severe GC requiring urgent surgical intervention.

摘要

坏疽性胆囊炎(GC)是急性胆囊炎的一种严重且可能致命的并发症。我们报告一位83岁男性,既往有2型糖尿病病史且伴有严重相关神经病变,因恶心呕吐10天就诊于一个大城市的社区医院,腹部检查无异常。患者因高血糖入院,随后被发现患有严重的坏疽性胆囊炎,需要紧急手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/6288495/c4620423f9ae/WJCC-6-1007-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/6288495/9b3da82536c4/WJCC-6-1007-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/6288495/c4620423f9ae/WJCC-6-1007-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/6288495/9b3da82536c4/WJCC-6-1007-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/6288495/c4620423f9ae/WJCC-6-1007-g002.jpg

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本文引用的文献

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Case Rep Med. 2013;2013:418014. doi: 10.1155/2013/418014. Epub 2013 Apr 1.
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[Surgical treatment of acute cholecystitis].[急性胆囊炎的外科治疗]
Masui. 2012 Sep;61(9):944-50; discussion 951-2.
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Diabetic neuropathy: clinical manifestations and current treatments.糖尿病神经病变:临床表现与现行疗法。
无症状性坏疽性急性胆囊炎:一种危及生命的病症。
Cureus. 2023 Mar 25;15(3):e36672. doi: 10.7759/cureus.36672. eCollection 2023 Mar.
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Asymptomatic gangrenous cholecystitis diagnosed using contrast-enhanced ultrasonography in a patient with pancreatic cancer.一名胰腺癌患者经对比增强超声检查诊断为无症状坏疽性胆囊炎。
Radiol Case Rep. 2022 May 5;17(7):2309-2314. doi: 10.1016/j.radcr.2022.04.002. eCollection 2022 Jul.
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Acute Cholecystitis Presenting With Septic Shock as the First Presentation in an Elderly Patient.急性胆囊炎以感染性休克作为老年患者的首发表现
Cureus. 2022 Jan 6;14(1):e20981. doi: 10.7759/cureus.20981. eCollection 2022 Jan.
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Perforated Gangrenous Gallbladder in an Asymptomatic Patient.无症状患者的坏疽性穿孔性胆囊炎
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J Med Case Rep. 2011 May 21;5:199. doi: 10.1186/1752-1947-5-199.
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Pharmacol Ther. 2008 Oct;120(1):1-34. doi: 10.1016/j.pharmthera.2008.05.005. Epub 2008 Jun 13.
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Diabetes and obesity: the twin epidemics.糖尿病与肥胖症:双重流行病。
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Endocrine. 2005 Aug;27(3):213-7. doi: 10.1385/ENDO:27:3:213.
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