Mirizzi Syndrome Complicated With Transverse Colon Fistula Presenting as Colonic Tumor: A Case Report and Literature Review

An 88-year-old man was admitted because of right upper quadrant abdominal pain and diagnosed as having acute cholecystitis. He underwent endoscopic retrograde cholangiography for jaundice and showed common hepatic duct narrowing with external compression compatible with Mirizzi syndrome. Owing to hi...

Full description

Saved in:
Bibliographic Details
Published inInternational journal of gerontology Vol. 12; no. 3; pp. 264 - 266
Main Authors Chuang, Shih-Hsien, Chang, Ching-Wei, Chang, Chen-Wang, Chu, Cheng-Hsin, Hung, Chien-Yuan
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.09.2018
Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
Subjects
acute cholecystitis
cholecystocolonic fistula
colonic tumor
Mirizzi syndrome
acute cholecystitis
cholecystocolonic fistula
Mirizzi syndrome
colonic tumor
Online AccessGet full text

Cover

Abstract An 88-year-old man was admitted because of right upper quadrant abdominal pain and diagnosed as having acute cholecystitis. He underwent endoscopic retrograde cholangiography for jaundice and showed common hepatic duct narrowing with external compression compatible with Mirizzi syndrome. Owing to his age and fragility, he received only internal drainage with a plastic stent instead of operation. The right upper quadrant abdominal pain recurred with bloody stool and decreased hemoglobin level. Colonoscopy revealed a 4- × 3-cm colonic tumor over the hepatic flexure, and colonoscopic biopsy revealed necrosis and inflammation. Abdominal computed tomography (CT) revealed ruptured acute cholecystitis and abscess formation. Surgical intervention was performed, and the operative finding showed a cholecystocolonic fistula. The patient was discharged after cholecystectomy and partial colectomy, and the period of secondary hospitalization was 46 days.
AbstractList An 88-year-old man was admitted because of right upper quadrant abdominal pain and diagnosed as having acute cholecystitis. He underwent endoscopic retrograde cholangiography for jaundice and showed common hepatic duct narrowing with external compression compatible with Mirizzi syndrome. Owing to his age and fragility, he received only internal drainage with a plastic stent instead of operation. The right upper quadrant abdominal pain recurred with bloody stool and decreased hemoglobin level. Colonoscopy revealed a 4- × 3-cm colonic tumor over the hepatic flexure, and colonoscopic biopsy revealed necrosis and inflammation. Abdominal computed tomography (CT) revealed ruptured acute cholecystitis and abscess formation. Surgical intervention was performed, and the operative finding showed a cholecystocolonic fistula. The patient was discharged after cholecystectomy and partial colectomy, and the period of secondary hospitalization was 46 days.
An 88-year-old man was admitted because of right upper quadrant abdominal pain and diagnosed as having acute cholecystitis. He underwent endoscopic retrograde cholangiography for jaundice and showed common hepatic duct narrowing with external compression compatible with Mirizzi syndrome. Owing to his age and fragility, he received only internal drainage with a plastic stent instead of operation. The right upper quadrant abdominal pain recurred with bloody stool and decreased hemoglobin level. Colonoscopy revealed a 4- × 3-cm colonic tumor over the hepatic flexure, and colonoscopic biopsy revealed necrosis and inflammation. Abdominal computed tomography (CT) revealed ruptured acute cholecystitis and abscess formation. Surgical intervention was performed, and the operative finding showed a cholecystocolonic fistula. The patient was discharged after cholecystectomy and partial colectomy, and the period of secondary hospitalization was 46 days. Keywords: acute cholecystitis, cholecystocolonic fistula, colonic tumor, Mirizzi syndrome
Author Chu, Cheng-Hsin
Hung, Chien-Yuan
Chuang, Shih-Hsien
Chang, Chen-Wang
Chang, Ching-Wei
Author_xml – sequence: 1
  givenname: Shih-Hsien
  surname: Chuang
  fullname: Chuang, Shih-Hsien
  organization: Division of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei Campus, Taiwan
– sequence: 2
  givenname: Ching-Wei
  surname: Chang
  fullname: Chang, Ching-Wei
  organization: Division of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei Campus, Taiwan
– sequence: 3
  givenname: Chen-Wang
  surname: Chang
  fullname: Chang, Chen-Wang
  organization: Division of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei Campus, Taiwan
– sequence: 4
  givenname: Cheng-Hsin
  surname: Chu
  fullname: Chu, Cheng-Hsin
  organization: Division of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei Campus, Taiwan
– sequence: 5
  givenname: Chien-Yuan
  orcidid: 0000-0002-2110-9297
  surname: Hung
  fullname: Hung, Chien-Yuan
  email: hungchienyuan@yahoo.com.tw
  organization: Division of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei Campus, Taiwan
BookMark eNp9UMtuFDEQ9CFIJIEf4OQf2MGPsceDuEQrApEWgZKNcrQ8ds_i0ay9sr1BSX4-HhZx5NKtrlKVuuoCnYUYAKEPlDSUUPlxavy0g4YRqhrCG0LbM3ROVcdXvejVW3SR80SIpIyKc_Ty3Sf__Ozx3VNwKe4Br-P-MHtrCjj84MsvvE0m5EdIeeHmGPC1z-U4G_wzQYZQfNhhk0-ct3h73Mf0CV_htamKWzjEVLAJDm98gWTKMS3oo4ff79Cb0cwZ3v_dl-j--st2_W21-fH1Zn21WVkuaVkNzhEpLOGMKkLo2NKhY1TW2w5O9ka0inWCD4KOHTOK9KMCqVorhGFDHfwS3Zx8XTSTPiS_N-lJR-P1HyCmnTapeDuDFh01jrVWguzbHqDnjnTKtB2H3kI7VC928rIp5pxg_OdHiV7q15Ne6tdL_ZpwXeuvos8nEdSUNXnS2XoIFpxPYEt9w_9P_gp--pKF
Cites_doi 10.4103/1319-3767.45054
10.1089/lap.2006.16.467
10.1016/j.ijge.2016.11.006
10.1002/bjs.1800811226
10.1007/s00268-008-9660-3
10.1007/s004640000317
10.1007/s00534-008-0014-1
10.3748/wjg.15.4077
10.1111/j.1572-0241.1999.01396.x
ContentType Journal Article
Copyright 2018
Copyright_xml – notice: 2018
DBID 6I.
AAFTH
AAYXX
CITATION
DOA
DOI 10.1016/j.ijge.2018.03.014
DatabaseName ScienceDirect Open Access Titles
Elsevier:ScienceDirect:Open Access
CrossRef
DOAJ Directory of Open Access Journals
DatabaseTitle CrossRef
DatabaseTitleList

Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EndPage 266
ExternalDocumentID oai_doaj_org_article_571ad24c6e6949ee93d078a473e9ce4b
10_1016_j_ijge_2018_03_014
S1873959818300401
GroupedDBID ---
--K
.~1
0R~
0SF
188
1B1
1~.
1~5
2UF
4.4
457
4G.
53G
5GY
5VS
6I.
7-5
71M
8P~
AACTN
AAEDW
AAFTH
AAIKJ
AALRI
AAQFI
AAXUO
ABBQC
ABMAC
ABVKL
ABXDB
ACGFS
ADBBV
AEKER
AENEX
AEVXI
AEXQZ
AGHFR
AGYEJ
AINHJ
AITUG
AJRQY
ALMA_UNASSIGNED_HOLDINGS
AMRAJ
BCNDV
CEFSP
CNMHZ
CS3
DU5
EBS
EIHBH
EJD
EP2
EP3
FDB
FEDTE
FIRID
FNPLU
GBLVA
GROUPED_DOAJ
HVGLF
HZ~
IPNFZ
J1W
LCYCR
M41
MO0
N9A
NCXOZ
O-L
O9-
OK1
OZT
P-8
P-9
P2P
P6G
PC.
Q38
RIG
ROL
SDF
SES
SSZ
TR2
TUXDW
UZ5
AAYXX
ADVLN
AKRWK
CITATION
ID FETCH-LOGICAL-c361t-bdd065c03218001f41b7216032cbd69a5482753b51f72a809f8e684c55a2b55a3
IEDL.DBID DOA
ISSN 1873-9598
IngestDate Thu Jul 04 21:12:21 EDT 2024
Fri Aug 23 02:29:18 EDT 2024
Fri Feb 23 02:26:27 EST 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 3
Keywords acute cholecystitis
cholecystocolonic fistula
Mirizzi syndrome
colonic tumor
Language English
License This is an open access article under the CC BY-NC-ND license.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c361t-bdd065c03218001f41b7216032cbd69a5482753b51f72a809f8e684c55a2b55a3
ORCID 0000-0002-2110-9297
OpenAccessLink https://doaj.org/article/571ad24c6e6949ee93d078a473e9ce4b
PageCount 3
ParticipantIDs doaj_primary_oai_doaj_org_article_571ad24c6e6949ee93d078a473e9ce4b
crossref_primary_10_1016_j_ijge_2018_03_014
elsevier_sciencedirect_doi_10_1016_j_ijge_2018_03_014
PublicationCentury 2000
PublicationDate September 2018
2018-09-00
2018-09-01
PublicationDateYYYYMMDD 2018-09-01
PublicationDate_xml – month: 09
  year: 2018
  text: September 2018
PublicationDecade 2010
PublicationTitle International journal of gerontology
PublicationYear 2018
Publisher Elsevier B.V
Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
Publisher_xml – name: Elsevier B.V
– name: Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
References Glenn, Reed, Grafe (bib4) 1981; 153
Goenka, Iqbal, Manalo (bib3) 1999; 94
Prasad, Foley (bib10) 1994; 81
Costi, Randone, Violi (bib2) 2009; 16
Angrisani, Corcione, Tartaglia (bib7) 2001; 15
Chowbey, Bandyopadhyay, Sharma (bib6) 2006; 16
Antonacci, Taffurelli, Casadei (bib8) 2013; 2013
Beltran, Csendes, Cruces (bib5) 2008; 32
Lai, Chen, Chu (bib11) 2017; 11
Correia, Amonkar (bib1) 2009; 15
Savvidou, Goulis, Gantzarou (bib9) 2009; 15
Savvidou (10.1016/j.ijge.2018.03.014_bib9) 2009; 15
Costi (10.1016/j.ijge.2018.03.014_bib2) 2009; 16
Antonacci (10.1016/j.ijge.2018.03.014_bib8) 2013; 2013
Correia (10.1016/j.ijge.2018.03.014_bib1) 2009; 15
Beltran (10.1016/j.ijge.2018.03.014_bib5) 2008; 32
Chowbey (10.1016/j.ijge.2018.03.014_bib6) 2006; 16
Prasad (10.1016/j.ijge.2018.03.014_bib10) 1994; 81
Angrisani (10.1016/j.ijge.2018.03.014_bib7) 2001; 15
Lai (10.1016/j.ijge.2018.03.014_bib11) 2017; 11
Goenka (10.1016/j.ijge.2018.03.014_bib3) 1999; 94
Glenn (10.1016/j.ijge.2018.03.014_bib4) 1981; 153
References_xml – volume: 15
  start-page: 42
  year: 2009
  end-page: 44
  ident: bib1
  article-title: Cholecystocolic fistula: a diagnostic enigma
  publication-title: Saudi J Gastroenterol
  contributor:
    fullname: Amonkar
– volume: 16
  start-page: 467
  year: 2006
  end-page: 472
  ident: bib6
  article-title: Laparoscopic management of cholecystoenteric fistulas
  publication-title: J Laparoendosc Adv Surg Tech A
  contributor:
    fullname: Sharma
– volume: 153
  start-page: 527
  year: 1981
  end-page: 531
  ident: bib4
  article-title: Biliary enteric fistula
  publication-title: Surg Gynecol Obstet
  contributor:
    fullname: Grafe
– volume: 32
  start-page: 2237
  year: 2008
  end-page: 2243
  ident: bib5
  article-title: The relationship of Mirizzi syndrome and cholecystoenteric fistula: validation of a modified classification
  publication-title: World J Surg
  contributor:
    fullname: Cruces
– volume: 15
  start-page: 1038
  year: 2001
  end-page: 1041
  ident: bib7
  article-title: Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery
  publication-title: Surg Endosc
  contributor:
    fullname: Tartaglia
– volume: 16
  start-page: 8
  year: 2009
  end-page: 18
  ident: bib2
  article-title: Cholecystocolonic fistula: facts and myths. A review of the 231 published cases
  publication-title: J Hepatobiliary Pancreat Surg
  contributor:
    fullname: Violi
– volume: 81
  start-page: 1789
  year: 1994
  end-page: 1790
  ident: bib10
  article-title: Laparoscopic management of cholecystocolic fistula
  publication-title: Br J Surg
  contributor:
    fullname: Foley
– volume: 11
  start-page: 182
  year: 2017
  end-page: 185
  ident: bib11
  article-title: Cholecystectomy after sphincterotomy for preventing recurrence in elderly patients with acute cholangitis
  publication-title: Int J Gerontol
  contributor:
    fullname: Chu
– volume: 15
  start-page: 4077
  year: 2009
  end-page: 4082
  ident: bib9
  article-title: Pneumobilia, chronic diarrhea, vitamin K malabsorption: a pathognomonic triad for cholecystocolonic fistulas
  publication-title: World J Gastroenterol
  contributor:
    fullname: Gantzarou
– volume: 94
  start-page: 2558
  year: 1999
  end-page: 2560
  ident: bib3
  article-title: Colo-cholecystic fistula: an unusual complication of colonic diverticular disease
  publication-title: Am J Gastroenterol
  contributor:
    fullname: Manalo
– volume: 2013
  year: 2013
  ident: bib8
  article-title: Asymptomatic cholecystocolonic fistula: a diagnostic and therapeutic dilemma
  publication-title: Case Rep Surg
  contributor:
    fullname: Casadei
– volume: 15
  start-page: 42
  issue: 1
  year: 2009
  ident: 10.1016/j.ijge.2018.03.014_bib1
  article-title: Cholecystocolic fistula: a diagnostic enigma
  publication-title: Saudi J Gastroenterol
  doi: 10.4103/1319-3767.45054
  contributor:
    fullname: Correia
– volume: 16
  start-page: 467
  issue: 5
  year: 2006
  ident: 10.1016/j.ijge.2018.03.014_bib6
  article-title: Laparoscopic management of cholecystoenteric fistulas
  publication-title: J Laparoendosc Adv Surg Tech A
  doi: 10.1089/lap.2006.16.467
  contributor:
    fullname: Chowbey
– volume: 11
  start-page: 182
  year: 2017
  ident: 10.1016/j.ijge.2018.03.014_bib11
  article-title: Cholecystectomy after sphincterotomy for preventing recurrence in elderly patients with acute cholangitis
  publication-title: Int J Gerontol
  doi: 10.1016/j.ijge.2016.11.006
  contributor:
    fullname: Lai
– volume: 2013
  year: 2013
  ident: 10.1016/j.ijge.2018.03.014_bib8
  article-title: Asymptomatic cholecystocolonic fistula: a diagnostic and therapeutic dilemma
  publication-title: Case Rep Surg
  contributor:
    fullname: Antonacci
– volume: 81
  start-page: 1789
  year: 1994
  ident: 10.1016/j.ijge.2018.03.014_bib10
  article-title: Laparoscopic management of cholecystocolic fistula
  publication-title: Br J Surg
  doi: 10.1002/bjs.1800811226
  contributor:
    fullname: Prasad
– volume: 32
  start-page: 2237
  issue: 10
  year: 2008
  ident: 10.1016/j.ijge.2018.03.014_bib5
  article-title: The relationship of Mirizzi syndrome and cholecystoenteric fistula: validation of a modified classification
  publication-title: World J Surg
  doi: 10.1007/s00268-008-9660-3
  contributor:
    fullname: Beltran
– volume: 15
  start-page: 1038
  issue: 9
  year: 2001
  ident: 10.1016/j.ijge.2018.03.014_bib7
  article-title: Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery
  publication-title: Surg Endosc
  doi: 10.1007/s004640000317
  contributor:
    fullname: Angrisani
– volume: 16
  start-page: 8
  year: 2009
  ident: 10.1016/j.ijge.2018.03.014_bib2
  article-title: Cholecystocolonic fistula: facts and myths. A review of the 231 published cases
  publication-title: J Hepatobiliary Pancreat Surg
  doi: 10.1007/s00534-008-0014-1
  contributor:
    fullname: Costi
– volume: 15
  start-page: 4077
  issue: 32
  year: 2009
  ident: 10.1016/j.ijge.2018.03.014_bib9
  article-title: Pneumobilia, chronic diarrhea, vitamin K malabsorption: a pathognomonic triad for cholecystocolonic fistulas
  publication-title: World J Gastroenterol
  doi: 10.3748/wjg.15.4077
  contributor:
    fullname: Savvidou
– volume: 94
  start-page: 2558
  issue: 9
  year: 1999
  ident: 10.1016/j.ijge.2018.03.014_bib3
  article-title: Colo-cholecystic fistula: an unusual complication of colonic diverticular disease
  publication-title: Am J Gastroenterol
  doi: 10.1111/j.1572-0241.1999.01396.x
  contributor:
    fullname: Goenka
– volume: 153
  start-page: 527
  issue: 4
  year: 1981
  ident: 10.1016/j.ijge.2018.03.014_bib4
  article-title: Biliary enteric fistula
  publication-title: Surg Gynecol Obstet
  contributor:
    fullname: Glenn
SSID ssj0061215
Score 2.110642
Snippet An 88-year-old man was admitted because of right upper quadrant abdominal pain and diagnosed as having acute cholecystitis. He underwent endoscopic retrograde...
SourceID doaj
crossref
elsevier
SourceType Open Website
Aggregation Database
Publisher
StartPage 264
SubjectTerms acute cholecystitis
cholecystocolonic fistula
colonic tumor
Mirizzi syndrome
SummonAdditionalLinks – databaseName: ScienceDirect Freedom Collection 2013
  dbid: .~1
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT9wwELYQB9RL1UKrbksrH7ihsOvYTpze6IoVQmxVCRDcLL9CjWgWLbsXKvW3dyZ2VnDpoZdIfuShGcvfWPPNF0IOSuONc7wtJIB7IbxrC9O0ZcHguMVVcEwZrB2ef69Or8TZjbzZItOhFgZplXnvT3t6v1vnnnG25vghxvEFU5hkagBxUDWqr-ESAEawpo_-bGgeKJCFNEacXODsXDiTOF7x7halMpnqhU6ZeAFOvYb_M4x6hjuzN-R1Dhjpcfqmt2QrdLtkZ55T4nvk9zwu49NTpBdZe4BOB5Z48PQ6rn7SHo-QfoFj94uOzsC363tDf6TaI0Avah7TWHT0cv1rsfxKj-kUEI6mCJ2aztPzjQQzTSmFd-RqdnI5PS3yHxUKxyu2Kqz3EHK4CQdgB3xqBbMo3gNtZ33VGImioJJbydq6NGrStCpUSjgpTWnhwt-T7W7RhQ-EWhFq8GPVTkIQnteGBemcUqE2lgVjRuRwMKV-SMIZemCU3Wk0vEbD6wnXYPgR-YbW3sxE0eu-Y7G81dnrWtbM-FK4KlSNaEJouIcAx4iah8YFYUdEDr7SL9YQPCr-4-Uf__O-T-QVthLjbJ9sr5br8BlClJX90q_Bv9dW5QM
  priority: 102
  providerName: Elsevier
Title Mirizzi Syndrome Complicated With Transverse Colon Fistula Presenting as Colonic Tumor: A Case Report and Literature Review
URI https://dx.doi.org/10.1016/j.ijge.2018.03.014
https://doaj.org/article/571ad24c6e6949ee93d078a473e9ce4b
Volume 12
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3Pi9QwFA66gngRf-L4Y8jBm1QmTdIm3mYHh0V3RHBX9xZekle3y9qRceaygn-7L027jBe9eCm0KUn48sj3Qr58YexlCRFCkE2hidwLFUNTgG3KQtBySxoMwkA6O7z6UB2dqndn-mzvqq-kCcv2wBk4WrALiKUKFVZWWUQrI7EaqFqiDah8P_sKPS6m8hycbLGSeFGYWhZWWzMcl8nKrvbiazLIFKa3NxXqD0rqnfv3mGmPbZb32N0hTeTz3L377AZ2D9jt1bAR_pD9XLWb9uqq5Z8GxwG-GLXhGPmXdnvOexZKootUdrnu-JJGdHcJ_GM-cUScxeFHLmsDP9l9W2_e8DlfEK_xnJdz6CI_vjZe5nkj4RE7Xb49WRwVwz0KRZCV2BY-Rko0wkwSnRMrNUr4ZNlD78HHyoJOVqBaei2augQzs43ByqigNZSeHvIxO-jWHT5h3Csk8KFqZogqyhoE6hCMwRq8QIAJezVC6b5nuww36sguXALeJeDdTDoCfsIOE9rXfyar6_4DBYAbAsD9KwAmTI9j5YasIWcDVFX7l8af_o_Gn7E7qcosOnvODrabHb6gLGXrp-zm619iym7NDz-_P5724fkb6yTngA
link.rule.ids 315,786,790,870,2115,4521,27602,27957,27958,45620,45698
linkProvider Directory of Open Access Journals
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV07b9swECYCB2i7FH2ibvrg0K0QbIqkRGZzjBpuYwcF4rTZCL6UMEjlwLWX9M-XJ1JBsnToIkB8SMIdcd8R_O4TQp9K7bS1tCl4BPeCOdsUWjZlQeJ2iwpvidBQO7w8qeZn7Ns5P99D074WBmiVOfanmN5F69wyytYc3YQwOiUCDplkRBxQjYIarv2YDUgxQPuTox_Hiz4gg0YWMBlhfAETcu1MonmFqwtQyySi0zol7AE-dTL-92DqHvTMnqGnOWfEk_RZz9Geb1-gR8t8Kv4S_VmGTbi9Dfg0yw_gaU8U9w7_DNtL3EESMDCg73rd4ll07-5a4--p_CgCGNa_U1-weLX7td4c4gmeRpDDKUnHunV4cafCjNOpwit0Nvuyms6L_FOFwtKKbAvjXMw67JhGbI8Q1TBiQL8n3lvjKqk56IJyajhp6lKLsWyErwSznOvSxAt9jQbtuvVvEDbM19GVVTP2njlaa-K5tUL4WhvitR6iz70p1U3SzlA9qexKgeEVGF6NqYqGH6IjsPbdSNC97hrWmwuVHa94TbQrma18JZn0XlIXcxzNauql9cwMEe99pR4so_io8I-Xv_3PeR_R4_lquVCLryfHB-gJ9CQC2js02G52_n3MWLbmQ16RfwEoq-lc
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Mirizzi+Syndrome+Complicated+With+Transverse+Colon+Fistula+Presenting+as+Colonic+Tumor%3A+A+Case+Report+and+Literature+Review&rft.jtitle=International+journal+of+gerontology&rft.au=Shih-Hsien+Chuang&rft.au=Ching-Wei+Chang&rft.au=Chen-Wang+Chang&rft.au=Cheng-Hsin+Chu&rft.date=2018-09-01&rft.pub=Taiwan+Society+of+Geriatric+Emergency+and+Critical+Medicine+%28TSGECM%29&rft.issn=1873-9598&rft.volume=12&rft.issue=3&rft.spage=264&rft.epage=266&rft_id=info:doi/10.1016%2Fj.ijge.2018.03.014&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_571ad24c6e6949ee93d078a473e9ce4b
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1873-9598&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1873-9598&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1873-9598&client=summon