Ｓｈｗａｒｔｚｍａｎ現象によると考えられる広範性肝壊死の一症例

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書誌事項

タイトル別名
  • Massive hepatic necrosis due to shwartzman phenomenon as a complication of percutaneous transhepatic cholangiography
  • Shwartzman ゲンショウ ニヨル ト カンガエラレル コウハンセイ カ

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抄録

A rare fatal case as a complication of percutaneous transhepatic cholangiography (PTC) was reported. Massive hepatic necrosis resulted from bleeding into the bile duct by a puncture of the hepatic artery branch developed following PTC. It was thought that Shwartzman phenomenon is involved in the pathogenesis of massive hepatic necrosis. In a word, bacterial infection to bile stasis and bacterial reflux from bile ducts into systemic circulation resulted from an increased biliary pressure following bleeding from the hepatic artery branch correspond to a preparative and provocative injection, respectively.

収録刊行物

  • 肝臓

    肝臓 22 (7), 1000-1003, 1981

    一般社団法人　日本肝臓学会

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