A patient with acute gangrenous cholecystitis in whom a choledocholith was removed by the rendezvous method via the PTGBD route
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- Koike Takero
- Department of Gastroenterology, Dokkyo Medical University Department of Internal Medicine, Ashikaga Red Cross Hospital
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- Takigawa Yutaka
- Department of Surgery, Ashikaga Red Cross Hospital
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- Komatsubara Toshinori
- Department of Internal Medicine, Ashikaga Red Cross Hospital
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- Jinnai Hidehito
- Department of Internal Medicine, Ashikaga Red Cross Hospital
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- Kino Hitoshi
- Department of Internal Medicine, Ashikaga Red Cross Hospital
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- Sugaya Takeshi
- Department of Internal Medicine, Ashikaga Red Cross Hospital
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- Mastuda Kaoh
- Department of Surgery, Ashikaga Red Cross Hospital
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- Fujisaki Masato
- Department of Surgery, Ashikaga Red Cross Hospital
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- Okamoto Yutaka
- Department of Internal Medicine, Ashikaga Red Cross Hospital
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- Komatsumoto Satoru
- Department of Internal Medicine, Ashikaga Red Cross Hospital
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- Hiraishi Hideyuki
- Department of Gastroenterology, Dokkyo Medical University
Bibliographic Information
- Other Title
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- PTGBDルートからランデブー法で総胆管結石除去術を施行した1例
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Abstract
An 87-year-old female patient was referred to our hospital with a history of fever and abdominal pain. Abdominal CT revealed a gallbladder stone, findings suggestive of cholecystitis, and a choledocholith. We performed percutaneous transhepatic gallbladder aspiration (PTGBA) . Eight days later, CT showed a thinned gallbladder wall, a pericholecystic abscess and a diverticulum-like prominence. We diagnosed acute gangrenous cholecystitis and performed percutaneous transhepatic gallbladder drainage (PTGBD) . After the cholecystitis improved, we performed endoscopic retrograde cholangiopancreatography (ERCP) to remove the stone. The papilla was located in a duodenal diverticulum. Therefore, we could not cannulate the common bile duct (CBD) , and performed endoscopic choledocholithotomy by the rendezvous method via the PTGBD route. A guidewire was introduced into the duodenum via the papilla and the bile duct intubation was successful.<br> The choledocholith was removed with a mechanical lithotripter after endoscopic sphincterotomy.<br> The rendezvous method via the PTGBD route is useful when selective cannulation of the CBD is difficult due to the presence of a duodenal diverticulum.
Journal
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- Progress of Digestive Endoscopy
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Progress of Digestive Endoscopy 85 (1), 132-133, 2014
Japan Gastroenterological Endoscopy Society Kanto Chapter
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Keywords
Details 詳細情報について
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- CRID
- 1390001205439723520
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- NII Article ID
- 130004985558
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- ISSN
- 21874999
- 13489844
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed