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一名亚洲患者出现巨大胆结石伴胆囊穿孔和肝脓肿

Giant Gallstone With Gallbladder Perforation and Hepatic Abscess in an Asian Patient.

作者信息

Yadav Saroj K, Thakur Mohim, Dhiman Ajay, Kumar Ajeet, Sharma Gopal

机构信息

Department of General Surgery, All India Institute of Medical Sciences, Bilaspur, Bilaspur, IND.

Department of Radiology, All India Institute of Medical Sciences, Bilaspur, Bilaspur, IND.

出版信息

Cureus. 2023 Jun 2;15(6):e39894. doi: 10.7759/cureus.39894. eCollection 2023 Jun.

DOI:10.7759/cureus.39894
PMID:37404388
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10315686/
Abstract

Giant gallstone with a secondary hepatic abscess is a very rare phenomenon. We recently treated a patient with a giant gallbladder (GB) stone of size 11.5 cm with a hepatic abscess who presented with features of an acute abdomen. This was subsequently managed with an open subtotal cholecystectomy and concomitant hepatic abscess drainage. To the best of our knowledge and after a thorough literature search, this is one of the largest reported gall bladder (GB) stones with wall perforation and hepatic abscess in the Asian subcontinent.

摘要

巨大胆结石合并继发性肝脓肿是一种非常罕见的现象。我们最近治疗了一名患有11.5厘米巨大胆囊结石并伴有肝脓肿的患者，该患者表现出急腹症的特征。随后通过开放式胆囊次全切除术及同时进行肝脓肿引流进行治疗。据我们所知，经过全面的文献检索，这是亚洲次大陆报道的最大的胆囊结石之一，伴有胆囊壁穿孔和肝脓肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/cf540362efea/cureus-0015-00000039894-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/baaf2a61936e/cureus-0015-00000039894-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/cb4c38333065/cureus-0015-00000039894-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/2fd8097ff6f9/cureus-0015-00000039894-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/0eea11dfe995/cureus-0015-00000039894-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/02dee5d366df/cureus-0015-00000039894-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/cf540362efea/cureus-0015-00000039894-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/baaf2a61936e/cureus-0015-00000039894-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/cb4c38333065/cureus-0015-00000039894-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/2fd8097ff6f9/cureus-0015-00000039894-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/0eea11dfe995/cureus-0015-00000039894-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/02dee5d366df/cureus-0015-00000039894-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf39/10315686/cf540362efea/cureus-0015-00000039894-i06.jpg

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本文引用的文献

1
Acute Cholecystitis: A Review.急性胆囊炎：综述。
JAMA. 2022 Mar 8;327(10):965-975. doi: 10.1001/jama.2022.2350.
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Gallstone ileus: A rare cause of small intestine obstruction.胆结石性肠梗阻：小肠梗阻的罕见病因。
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Largest case series of giant gallstones ever reported, and review of the literature.有史以来报道的最大规模的巨大胆结石病例系列及文献综述。
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Cureus. 2020 May 2;12(5):e7933. doi: 10.7759/cureus.7933.
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Intrahepatic perforation of the gallbladder causing liver abscesses: case studies and literature review of a rare complication.胆囊肝内穿孔导致肝脓肿：罕见并发症的病例研究及文献综述
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Diagnosis and treatment of gallbladder perforation.胆囊穿孔的诊断与治疗。
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