Perforation of the gall bladder in a patient on continuous ambulatory peritoneal dialysis.

Bhandari, Shailendra Singh; Miller, Gavin; Berson, E A; Turney, J. H.; Brownjohn, A. M.

doi:10.1093/oxfordjournals.ndt.a027792

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2000

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“…Seltenere Ursachen sind iatrogene Gallenblasenperforationen im Rahmen invasiver sonographischer oder radiologischer Maûnahmen, zudem wird über traumatische Perforationen bei Leberrupturen berichtet [9,13,15]. Als Raritäten wurde in Kasuistiken ein ursächlicher Zusammenhang zwischen Gallenblasenperforationen und der Peritonealdialyse [8], dem Gallenblasenvolvulus [4,6] und der Tuberkulose [2] gesehen.…”

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Großer Flankentumor nach gedeckter Gallenblasenperforation

Fernández

Töns²,

Schumpelick³

2000

Chirurg

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We report on a 79-year-old woman patient with a tumor with a diameter of 18 cm in the right flank. The medical history of the patient was normal except for a single asymptomatic gallstone, which had been known since 12 years. Sonography and abdominal CT showed an enormous intra-abdominal mass filled with liquid with a permanent union with the gallbladder. We than performed an explorative laparotomy with a tumor resection and a cholecystectomy. The histological examination showed perforation of the gallbladder with a great pseudocyst filled with 1800 ml infected bile and with penetration through the abdominal wall.

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