A case of emphysematous hepatitis with spontaneous pneumoperitoneum in a patient with hilar cholangiocarcinoma / 대한간학회지
The Korean Journal of Hepatology
; : 94-97, 2012.
Article
em En
| WPRIM
| ID: wpr-102514
Biblioteca responsável:
WPRO
ABSTRACT
An 80-year-old woman with hilar cholangiocarcinoma was hospitalized due to sudden-onset abdominal pain. Computed tomography revealed hepatic necrosis accompanied with emphysematous change in the superior segment of the right liver (S7/S8), implying spontaneous rupture, based on the presence of perihepatic free air. Although urgent percutaneous drainage was performed, neither pus nor fluids were drained. These findings suggest emphysematous hepatitis with a hepatic mass. Despite the application of intensive care, the patient's condition deteriorated rapidly, and she died 3 days after admission to hospital. Liver gas has been reported in some clinical diseases (e.g., liver abscess) to be caused by gas-forming organisms; however, emphysematous hepatitis simulating emphysematous pyelonephritis is very rare. The case reported here was of fatal emphysematous hepatitis in a patient with hilar cholangiocarcinoma.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pneumoperitônio
/
Neoplasias dos Ductos Biliares
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Ductos Biliares Intra-Hepáticos
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Tomografia Computadorizada por Raios X
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Cefotaxima
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Infecções por Clostridium
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Clostridium perfringens
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Colangiocarcinoma
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Enfisema
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Escherichia coli
Limite:
Aged
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Aged80
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Female
/
Humans
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article