書誌事項
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- A patient with acute gangrenous cholecystitis in whom a choledocholith was removed by the rendezvous method via the PTGBD route
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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.
収録刊行物
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- Progress of Digestive Endoscopy
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Progress of Digestive Endoscopy 85 (1), 132-133, 2014
一般社団法人 日本消化器内視鏡学会 関東支部
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詳細情報 詳細情報について
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- CRID
- 1390001205439723520
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- NII論文ID
- 130004985558
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- ISSN
- 21874999
- 13489844
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 使用不可