Ogashiwa Tsuyoshi, Oka Hiroyuki, Tsukamoto Megumi, Nakanoma Hiroshi, Matsushita Naohiko, Saeki Hiroyuki, Kojima Yui, Kondo Masaaki
Department of Gastroenterology, Yokohama Minami Kyosai Hospital, Japan.
Department of Gastroenterological Surgery, Yokohama Minami Kyosai Hospital, Japan.
Intern Med. 2025 Jul 1;64(13):1984-1992. doi: 10.2169/internalmedicine.4411-24. Epub 2024 Dec 5.
Gallbladder abscess is extremely rare. Aseptic abscesses are sometimes observed in patients with active ulcerative colitis (UC) with no history of colectomy; however, it is rare for an aseptic abscess in the gallbladder to develop after surgery for UC. We treated a 56-year-old man with UC and severe pouchitis who had undergone subtotal colorectal resection. A gallbladder lesion was noted during treatment for pouchitis, which increased in size. Therefore, the patient underwent cholecystectomy for suspected gallbladder cancer. A pathological examination revealed an aseptic abscess. This clinical report describes a rare case of an aseptic abscess in the gallbladder after surgery for UC.
胆囊脓肿极为罕见。在无结肠切除术病史的活动性溃疡性结肠炎(UC)患者中,有时会观察到无菌性脓肿;然而,UC手术后胆囊出现无菌性脓肿的情况很少见。我们治疗了一名56岁患有UC和严重储袋炎的男性,他接受了大肠次全切除术。在治疗储袋炎期间发现了一个胆囊病变,其大小有所增加。因此,该患者因疑似胆囊癌接受了胆囊切除术。病理检查显示为无菌性脓肿。本临床报告描述了一例UC手术后胆囊无菌性脓肿的罕见病例。