Takada T, Yasuda H, Uchiyama K
Gastroenterol Jpn. 1985 Apr;20(2):137-42. doi: 10.1007/BF02776677.
Pericholecystic abscess is a serious complication of cholecystitis. Though preoperative diagnosis is easy by gray-scale ultrasonography, there has been no case reported in which the communication between pericholecystic abscess and the gallbladder was demonstrated ultrasonically. We experienced a case in which the communication route between a pericholecystic abscess and the gallbladder was successfully demonstrated by a real-time electric linear scanner. Furthermore, the abscess was successfully treated by percutaneous drainage following ultrasonically guided puncture. This success demonstrates that ultrasonography by a real-time scanner can be effective for diagnosis and treatment of acute cholecystitis and pericholecystic abscess.
胆囊周围脓肿是胆囊炎的一种严重并发症。虽然通过灰阶超声术前诊断很容易，但尚未有超声显示胆囊周围脓肿与胆囊之间存在连通的病例报道。我们遇到一例通过实时电子线性扫描仪成功显示胆囊周围脓肿与胆囊之间连通路径的病例。此外，在超声引导下穿刺后，通过经皮引流成功治疗了该脓肿。这一成功表明，实时扫描仪超声检查对急性胆囊炎和胆囊周围脓肿的诊断和治疗可能有效。
