Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

腹部 CT 検査が術前診断に有用であった胆嚢捻転症の1例

Yunoki, Yasuhiro
Miyake, Mikio
Miyagi, Kouji
Nakagawa, Hidekazu
Matsuo, Youji
Nakagou, Jitsuo
Liu, Miao
Fuchimoto, Sadanori
Orita, Kunzo
Thumnail 104_1087.pdf 1.36 MB
Abstract
A 77-year-old female with a chief complaint of epigastralgia was diagnosed with torsion of the gallbladder by abdominal CT prior to surgery and successfully treated by an emergency operation. Only 16 cases of gallbladder torsion including the present case have been diagnosed prior to surgery in Japan. Almost all of them were diagnosed with abdominal ultrasonography. With the growing use of CT in the evaluation of abdominal pain, preoperative diagnosis of the condition may be expedited. CT shows characteristic findings of torsion of the gallbladder such as 1) pronounded swelling of the gallbladder and circumscribed thickening of the gallbladder wall, 2) displacement of the gallbladder, and 3) volvulated gallbladder neck. We found CT to be useful for preoperative diagnosis of patients with abdominal pain.
Keywords
胆嚢捻転症
術前診断
腹部 CT 検査
Note
原著
ISSN
0030-1558
NCID
AN00032489