| Item type |
文献 / Documents(1) |
| 公開日 |
2017-11-16 |
| アクセス権 |
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アクセス権 |
open access |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 出版タイプ |
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|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
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|
タイトル |
急性胆嚢炎で発症し術前にDICとなった胆嚢腺扁平上皮癌の1例 |
| タイトル |
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タイトル |
キュウセイ タンノウエン デ ハッショウシ ジュツゼン ニ DIC トナッタ タンノウセン ヘンペイ ジョウヒガン ノ 1レイ |
| タイトル別表記 |
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その他のタイトル |
Adenosquamous carcinoma of the gallbladder with acute cholecystitis and pre-operative disseminated intravascular coagulation (DIC) : A case report |
| 著者 |
佐々木, 克哉
三宅, 秀則
篠原, 永光
藤井, 正彦
安藤, 勤
田代, 征記
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| 抄録 |
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内容記述 |
We report a case of resected adonosquamous carcinoma of the gallbladder with acute cholecystitis and preoperative DIC. A 79-year-old woman was admitted to our hospital because of acute cholecystitis due to cystic duct obstruction by carcinoma of the gallbladder. There were high fever and henns ‘egg-sized tumor with severe tenderness on the right hypochondrium. Based on various examinations, a diagnosis advanced crcinoma of the gallbladder (Hinf3) was determined. Until the operation, because of exacerbation of acute cholecystitis, DIC occurred. The day before operation, percutaneus transhepatic gallbladder drainage was done. Then partial liver segmentectomy (S4a and S5) with cholecystectomy was carried out. Direct infiltration to the liver was observed. Histopathologically, the gallbladder tumor was adenosquamous carcinoma. After the operation, she recovered from DIC. But metastatic lymphnodes around common bile duct were enlarged rapidly, and obstructive jaundice appeared. On 55th day after the operation, she died because of peritonitis carcinomatosa 55 postoperative days. It was considered that preoperative acute cholecystitis, DIC and postoperative obstructive jaundice resulted from rapid growth of adenosquamous carcinoma. |
| キーワード |
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|
主題 |
acute cholecystitis |
| キーワード |
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|
主題 |
adenosquamous carcinoma of gallbladder |
| キーワード |
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|
主題 |
disseminated intravascular coagulation (DIC) |
| 書誌情報 |
ja : 四国医学雑誌
巻 58,
号 1-2,
p. 40-45,
発行日 2002-04-25
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| 収録物ID |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
00373699 |
| 収録物ID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00102041 |
| 出版者 |
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|
出版者 |
徳島医学会 |
| 備考 |
|
|
値 |
著者英表記誤記あり(誤）Nagamitsu Shinohara→（正）Hisamitsu Shinohara |
| EID |
|
|
識別子 |
139010 |
| 言語 |
|
|
言語 |
jpn |
sam_58_1-2_40.pdf (113 KB)
