A case of hemorrhagic cholecystitis during anticoagulant therapy, following surgery of aortic valve replacement, mitral valve plasty and tricuspid valve plasty

  • SOGABE Masahiro
    Department of Internal Medicine, Kochi Municipal Hospital
  • HUKUNO Hiroshi
    Department of Internal Medicine, Kochi Municipal Hospital
  • OHKITA Yoshio
    Department of Internal Medicine, Kochi Municipal Hospital
  • SATOMI Takehiro
    Department of Internal Medicine, Kochi Municipal Hospital
  • HAYASHI Hiroshige
    Department of Internal Medicine, Kochi Municipal Hospital
  • TANIKI Toshikatsu
    Department of Surgery, Kochi Municipal Hospital
  • OKAMURA Seisuke
    Second Department of Internal Medicine, School of Medicine, The University of Tokushima
  • HONDA Hirohito
    Second Department of Internal Medicine, School of Medicine, The University of Tokushima
  • ITO Susumu
    Second Department of Internal Medicine, School of Medicine, The University of Tokushima

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  • 大動脈弁置換術および僧帽弁,三尖弁弁輪形成術後の抗凝固療法中に発症した出血性胆嚢炎の1例

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症例は75歳,男性.僧帽弁,三尖弁,大動脈弁閉鎖不全による心不全のため当院心臓外科にて大動脈弁置換術および僧帽弁,三尖弁弁輪形成術を施行した,術後9日目より上腹部から右季肋部にかける痛みが出現し,術後10日目にはタール便および貧血を認めた.上部消化管内視鏡検査にて明らかな出血源を認めなかった.腹部超音波検査および腹部CTにて,胆嚢腫大,壁肥厚,胆嚢出血を認めたため急性胆嚢炎にともなう出血と考え,胆嚢摘出術を施行した.術後,貧血も改善し,軽快した.

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