A Race Against Rupture: Saving a Diabetic From Gallbladder Perforation
Preethika Murugesan1,2, Sundeep Selvamuthukumaran2,3, B V Sreedevi2
1Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, IND.
Cureus
|December 24, 2025
まとめ
Gallbladder empyema is a severe complication of acute cholecystitis. Prompt diagnosis and multidisciplinary treatment, like subtotal cholecystectomy, are crucial to prevent life-threatening outcomes such as sepsis.
科学分野:
- 消化器病学;外科的イノベーション;集中治療医学
背景:
- 胆嚢膿瘍は急性胆嚢炎の重篤な合併症です。;胆嚢穿孔、胆汁性腹膜炎、敗血症、および死亡率の増加につながる可能性があり、特に脆弱な患者ではそうです。;重篤な結果を防ぐためには、迅速な管理が不可欠です。
研究 の 目的:
- 胆嚢膿瘍と底部穿孔および胆汁性腹膜炎の症例を報告すること。;この重篤な状態の管理における早期診断と介入の重要性を強調すること。;複雑な症例の成功した治療を強調すること。
主な方法:
- 2型糖尿病(T2DM)の57歳女性の症例報告。;胆嚢膿瘍が自由な底部穿孔および胆汁性腹膜炎に進行したと診断された。;緊急開腹亜全摘胆嚢摘出術による成功した治療。
主要な成果:
- 胆嚢膿瘍とそれに続く穿孔の患者が提示されました。;胆汁性腹膜炎が合併症として特定されました。;緊急開腹亜全摘胆嚢摘出術により、治療は成功しました。
結論:
- 胆嚢膿瘍は、穿孔および敗血症を防ぐために緊急の注意が必要です。;早期診断と調整された学際的アプローチが不可欠です。;亜全摘胆嚢摘出術は、緊急治療として効果的である可能性があります。
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