漏出性胆汁性腹膜炎の1例

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  • A Case of Billiary Peritonitis due to Transudation through the Gallbladder

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Biliary peritonitis due to transudation through the gallbladder not associated with perforation is very rare. A 75-year-old woman admitted for right abdominal pain was diagnosed with biliary peritonitis based on physical examination and diagnostic imaging. Biliary ascites was seen without cholecystic perforation, and no abnormal hepatic, common bile duct, or upper intestinal findings were made. Laparoscopic cholecystectomy yielded a diagnosis of biliary peritonitis due to transudation through the gallbladder. Macroscopically, there was slight mucosal inflammation but no necrosis, congestive edema, or denaturation at the serosa. Serosal degeneration was suspected to have been due to circulatory failure by gallbladder ischemia. Laparoscopic surgery was effective in diagnosis and treatment.

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