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- W2056544978 abstract "症例は 85 歳，男性．便秘，腹痛，嘔吐を主訴に受診した．初診時身体所見では，下腹部に強い腹膜刺激症状を認めた．腹部 CT 検査所見では肝臓周囲，ダグラス窩にまで及ぶ腹水が認められた．大腸穿孔による汎発性腹膜炎を疑い，緊急手術を施行した．術中所見では，胆汁性腹水を多量に認め，胆嚢底部に約 2mm の小穿孔を認めた．病理所見では，慢性胆嚢炎が背景にあり，穿孔部は強い炎症所見，壊死を認め，慢性胆嚢炎を背景とした胆嚢穿孔と診断された．胆嚢穿孔は比較的稀な疾患であるが，急性腹症の鑑別疾患として念頭に置く必要があると考えられた．" @default.
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- W2056544978 date "2009-01-01" @default.
- W2056544978 modified "2023-10-16" @default.
- W2056544978 title "Perforation of the Gallbladder in an Elderly Patient" @default.
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- W2056544978 doi "https://doi.org/10.4264/numa.68.138" @default.
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