기종성 담낭염으로 인한 패혈증에 의한 사망

• Published in: Annals of surgical treatment and research Vol. 72; no. 3; pp. 250 - 253
• Main Authors: 최윤희(Yoon Hee Choi), 배현아(Hyun A Bae), 어은경(Eun Kyung Eo), 정구영(Koo Young Jung)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.03.2007
• Subjects: 일반외과학; Sepsis; 혈관내 용혈; Emphysematous cholecystitis; Intravascular hemolysis; 기종성 담낭염; 패혈증
• ISSN: 2288-6575; 2288-6796

Emphysematous cholecystitis is an uncommon but life-threatening form of acute cholecystitis that is caused by gas- forming organisms such as Clostridia species, Escherichia coli, Klebsiella, and anaerobic streptococci. Emphysematous cholecystitis frequently affects elderly men, and is associated with diabetes mellitus. The risk of gangrene and perforation of the gallbladder is relatively high in emphysematous cholecystitis patients, and there is a 15% mortality compared with the 4% for acute cholecystitis. We report here a case of emphysematous cholecystitis in a 56-year-old woman, who had diabetes for 10 months. The patient presented with right upper abdominal pain and chills. The abdominal plain film showed a mottled gas pattern in the right upper quadrant. The laboratory value revealed massive intravascular hemolysis. The patient deteriorated rapidly during the course of the evaluation and required cardiopulmonary resuscitation. Despite the attempts to resuscitate the patient, she died 9 hours after the onset of symptoms. (J Korean Surg Soc 2007;72:250-253) KCI Citation Count: 2