A case of hepatic hematoma caused by acute calculous cholecystitis with occult gallbladder perforation

Q4 Medicine

中华肝胆外科杂志 Pub Date : 2019-11-28 DOI:10.3760/CMA.J.ISSN.1007-8118.2019.11.017

Ningjie Zhou, J. Yao, Jian Wang

引用次数: 0

Abstract

急性结石性胆囊炎致肝血肿临床罕见，是胆囊结石穿孔造成肝脏出血的一个特殊表现。对于单纯性肝血肿患者临床可密切观察，择机采取合适的治疗方式。而胆囊结石并急性炎症穿孔出现肝脏血肿的患者，应尽早手术、清除血肿、切除坏死失活肝组织，对破裂的胆管和(或)血管进行结扎或修补，充分引流，以减少血肿感染及严重并发症的发生。本文报道一例急性结石性胆囊炎并隐匿性胆囊穿孔致肝血肿患者的诊疗情况，并查阅相关文献进行讨论。

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急性结石性胆囊炎并发隐匿性胆囊穿孔致肝血肿1例

Acute calculous cholecystitis causing liver hematoma is a rare clinical manifestation, which is a special manifestation of liver bleeding caused by perforation of gallbladder stones. For patients with simple liver hematoma, close observation can be conducted clinically and appropriate treatment methods can be chosen according to the timing. Patients with gallstones and acute inflammatory perforation who develop liver hematoma should undergo surgery as soon as possible, remove the hematoma, remove necrotic and inactive liver tissue, ligate or repair the ruptured bile ducts and/or blood vessels, and provide sufficient drainage to reduce hematoma infection and serious complications. This article reports on the diagnosis and treatment of a patient with acute calculous cholecystitis and occult gallbladder perforation leading to liver hematoma, and reviews relevant literature for discussion.

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来源期刊

中华肝胆外科杂志 Medicine-Gastroenterology

CiteScore

0.20

自引率

0.00%

发文量

7101

期刊介绍： Chinese Journal of Hepatobiliary Surgery is an academic journal organized by the Chinese Medical Association and supervised by the China Association for Science and Technology, founded in 1995. The journal has the following columns: review, hot spotlight, academic thinking, thesis, experimental research, short thesis, case report, synthesis, etc. The journal has been recognized by Beida Journal (Chinese Journal of Humanities and Social Sciences). Chinese Journal of Hepatobiliary Surgery has been included in famous databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences), CSCD Source Journals of China Science Citation Database (with Extended Version) and so on, and it is one of the national key academic journals under the supervision of China Association for Science and Technology.