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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...

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Autores principales: Ishida, Yusuke, Sekiguchi, Shunya, Tsuzuki, Yumi, Kawachi, Aya, Tomino, Mikiko
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
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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.
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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
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