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新型冠状病毒肺炎患者的自发性胆囊穿孔——病例报告及文献综述

Spontaneous gallbladder perforation in patient with COVID-19-a case report and review of literature.

作者信息

Basukala Sunil, Rijal Sabina, Karki Saurav, Basukala Bikram, Gautam Alok Raj

机构信息

Department of Surgery, Nepal Army Institute of Health Science (NAIHS), Kathmandu, Nepal.

Department of Anaesthesia and Critical Care Medicine, Nepal Army Institute of Health Science (NAIHS), Kathmandu 10160, Nepal.

出版信息

J Surg Case Rep. 2021 Nov 11;2021(11):rjab496. doi: 10.1093/jscr/rjab496. eCollection 2021 Nov.

DOI:10.1093/jscr/rjab496
PMID:34804482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8598116/
Abstract

The Coronavirus 2019 disease (COVID-19) originated in Wuhan in China in December 2019 has evolved over the past year in terms of its pathophysiology, clinical presentation, imaging manifestations and management strategies. Though COVID-19 is predominantly a pulmonary illness, it is now established to show widespread extra pulmonary involvement. Gastrointestinal manifestations of COVID-19 are also well known. COVID-19 infection presenting with the involvement of gallbladder is extremely rare in medical literature. Gallbladder perforation should be thought of in COVID-19 patients complaining of with acute abdomen in with acute cholecystitis.

摘要

2019年12月在中国武汉起源的冠状病毒病（COVID-19）在过去一年里，在病理生理学、临床表现、影像学表现及治疗策略方面都有所演变。尽管COVID-19主要是一种肺部疾病，但目前已证实它会出现广泛的肺外受累情况。COVID-19的胃肠道表现也广为人知。在医学文献中，COVID-19感染累及胆囊的情况极为罕见。对于主诉急性腹痛且伴有急性胆囊炎的COVID-19患者，应考虑胆囊穿孔的可能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d576/8598116/266bc4cab75b/rjab496f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d576/8598116/d867053d96e6/rjab496f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d576/8598116/266bc4cab75b/rjab496f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d576/8598116/d867053d96e6/rjab496f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d576/8598116/266bc4cab75b/rjab496f2.jpg

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COVID-19 and the Kidneys: An Update.新型冠状病毒肺炎与肾脏：最新进展
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