出血性胆囊炎:病例报告及文献综述

M. A. Bolívar-Rodríguez, M. A. Cázarez-Aguilar, Rodolfo Fierro-López, Cristian Morales-Ramírez
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引用次数: 0

摘要

引言:出血性胆囊炎是急性胆囊炎的一种罕见并发症,死亡率高。材料与方法:右疑病症腹痛伴黄疸患者。实验室分析和肝胆超声显示急性胆囊炎,但在住院期间观察到病情普遍恶化,并进行了计算机断层扫描,显示出血性胆囊炎和腹腔积血。结果:急诊剖腹手术证实了断层扫描结果,并成功地用胆囊切除术解决。讨论:出血性胆囊炎的诊断很困难,因为最初的症状与急性胆囊炎没有区别,因此,临床怀疑和正确的图像分析对其检测至关重要。结论:尽管腹腔积血的穿孔出血性胆囊炎是一种非常罕见且诊断混乱的疾病,但在任何怀疑患有严重急性胆囊炎的患者中,静脉造影的腹部计算机断层扫描都是非常重要的。
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Colecistitis hemorrágica: reporte de caso y revisión de la literatura
Introduction: Hemorrhagic cholecystitis is a rare complication of acute cholecystitis with a high mortality. Materials and Method: Patient with abdominal pain in right hypochondrium and jaundice. Laboratory analyses and hepatobiliary ultrasound suggested acute cholecystitis, however, general worsening during hospital stay was observed and a computed tomography was performed, revealing hemorrhagic cholecystitis and hemoperitoneum. Results: Urgent laparotomy which confirmed tomographic results, successfully solved with cholecystectomy. Discussion: Hemorrhagic cholecystitis diagnosis is difficult as symptoms at the beginning do not differ from acute cholecystitis, then, clinical suspicion and a correct image analysis is crucial for its detection. Conclusion: Although, perforated hemorrhagic cholecystitis with hemoperitoneum is a very rare entity with confused diagnosis, an abdominal computed tomography with intravenous contrast is very important in any patient with severe acute cholecystitis suspicion.
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来源期刊
Revista Chilena De Cirugia
Revista Chilena De Cirugia Medicine-Surgery
CiteScore
0.20
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: La Revista Chilena de Cirugía es un órgano de difusión del conocimiento y actividad quirúrgica. Su población objetivo son cirujanos, especialistas de otras áreas médicas, médicos generales y alumnos del área de la salud. Sirve a cirujanos y otros especialistas, para publicar artículos originales e inéditos sobre temas médicos, en particular artículos de investigación básica y clínica, artículos de revisión, entre otros. Buscan difundir y actualizar el conocimiento médico general y quirúrgico en particular. Se publica en forma bimestral. La Revista Chilena de Cirugía está afiliada y patrocinada por la Sociedad de Cirujanos de Chilese desde el año 1952.
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