Cargando…
Severe acute cholecystitis successfully treated with endoscopic nasobiliary drainage tube insertion: A case report
In this report, we present a case of a patient with bile peritonitis caused by gallbladder perforation associated with acute cholecystitis, which required intensive postoperative care. The patient was a woman in her 40s who presented with abdominal pain. Upon examination, she was diagnosed as having...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10656800/ https://www.ncbi.nlm.nih.gov/pubmed/38022856 http://dx.doi.org/10.1177/2050313X231212303 |
_version_ | 1785148073791455232 |
---|---|
author | Ishida, Yusuke Sekiguchi, Shunya Tsuzuki, Yumi Kawachi, Aya Tomino, Mikiko |
author_facet | Ishida, Yusuke Sekiguchi, Shunya Tsuzuki, Yumi Kawachi, Aya Tomino, Mikiko |
author_sort | Ishida, Yusuke |
collection | PubMed |
description | In this report, we present a case of a patient with bile peritonitis caused by gallbladder perforation associated with acute cholecystitis, which required intensive postoperative care. The patient was a woman in her 40s who presented with abdominal pain. Upon examination, she was diagnosed as having acute cholecystitis and bile peritonitis caused by gallbladder perforation. Subsequently, a partial cholecystectomy, omental pack, and drainage were performed. Initially, her bile duct enzyme levels improved; however, they subsequently increased again. An endoscopic nasobiliary drainage tube was inserted, and thereafter, a decrease in inflammatory response and bile duct enzyme levels was observed. During the course of treatment, respiratory failure and renal impairment occurred, necessitating mechanical ventilation management and continuous hemodiafiltration. In patients with severe acute cholecystitis, in addition to treating the underlying condition, it is crucial to perform procedures perioperatively, in anticipation of the development of additional organ dysfunctions postoperatively. |
format | Online Article Text |
id | pubmed-10656800 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-106568002023-11-16 Severe acute cholecystitis successfully treated with endoscopic nasobiliary drainage tube insertion: A case report Ishida, Yusuke Sekiguchi, Shunya Tsuzuki, Yumi Kawachi, Aya Tomino, Mikiko SAGE Open Med Case Rep Case Report In this report, we present a case of a patient with bile peritonitis caused by gallbladder perforation associated with acute cholecystitis, which required intensive postoperative care. The patient was a woman in her 40s who presented with abdominal pain. Upon examination, she was diagnosed as having acute cholecystitis and bile peritonitis caused by gallbladder perforation. Subsequently, a partial cholecystectomy, omental pack, and drainage were performed. Initially, her bile duct enzyme levels improved; however, they subsequently increased again. An endoscopic nasobiliary drainage tube was inserted, and thereafter, a decrease in inflammatory response and bile duct enzyme levels was observed. During the course of treatment, respiratory failure and renal impairment occurred, necessitating mechanical ventilation management and continuous hemodiafiltration. In patients with severe acute cholecystitis, in addition to treating the underlying condition, it is crucial to perform procedures perioperatively, in anticipation of the development of additional organ dysfunctions postoperatively. SAGE Publications 2023-11-16 /pmc/articles/PMC10656800/ /pubmed/38022856 http://dx.doi.org/10.1177/2050313X231212303 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Ishida, Yusuke Sekiguchi, Shunya Tsuzuki, Yumi Kawachi, Aya Tomino, Mikiko Severe acute cholecystitis successfully treated with endoscopic nasobiliary drainage tube insertion: A case report |
title | Severe acute cholecystitis successfully treated with endoscopic nasobiliary drainage tube insertion: A case report |
title_full | Severe acute cholecystitis successfully treated with endoscopic nasobiliary drainage tube insertion: A case report |
title_fullStr | Severe acute cholecystitis successfully treated with endoscopic nasobiliary drainage tube insertion: A case report |
title_full_unstemmed | Severe acute cholecystitis successfully treated with endoscopic nasobiliary drainage tube insertion: A case report |
title_short | Severe acute cholecystitis successfully treated with endoscopic nasobiliary drainage tube insertion: A case report |
title_sort | severe acute cholecystitis successfully treated with endoscopic nasobiliary drainage tube insertion: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10656800/ https://www.ncbi.nlm.nih.gov/pubmed/38022856 http://dx.doi.org/10.1177/2050313X231212303 |
work_keys_str_mv | AT ishidayusuke severeacutecholecystitissuccessfullytreatedwithendoscopicnasobiliarydrainagetubeinsertionacasereport AT sekiguchishunya severeacutecholecystitissuccessfullytreatedwithendoscopicnasobiliarydrainagetubeinsertionacasereport AT tsuzukiyumi severeacutecholecystitissuccessfullytreatedwithendoscopicnasobiliarydrainagetubeinsertionacasereport AT kawachiaya severeacutecholecystitissuccessfullytreatedwithendoscopicnasobiliarydrainagetubeinsertionacasereport AT tominomikiko severeacutecholecystitissuccessfullytreatedwithendoscopicnasobiliarydrainagetubeinsertionacasereport |