心肺蘇生後に発症した無石胆嚢炎の一例

岩田 輝男; 林 健司; 市来 嘉伸; 小原 剛; 後藤 慶; 原山 信也; 長門 優; 二瓶 俊一; 谷川 隆久; 毛利 文彦; 相原 啓二; 蒲地 正幸

doi:10.7888/juoeh.31.57

A Case of Acalcuous Cholecystitis Developed after Cardiopulmonary Resuscitation

Teruo IWATA, Kenji HAYASHI, Yoshinobu ICHIKI, Gou OHARA, Kei GOTOU, Nobuya HARAYAMA, Masaru NAGATO, Syunichi NIHEI, Takahisa TANIGAWA, Fumihiko MOURI, Keiji AIBARA, Masayuki KAMOCHI

Author information

Teruo IWATA
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Department of SurgeryⅡ, School of Medicine, University of Occupational and Environmental Health
Kenji HAYASHI
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Yoshinobu ICHIKI
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Department of SurgeryⅡ, School of Medicine, University of Occupational and Environmental Health
Gou OHARA
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Kei GOTOU
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Nobuya HARAYAMA
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Masaru NAGATO
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Syunichi NIHEI
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Takahisa TANIGAWA
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Fumihiko MOURI
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Keiji AIBARA
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health
Masayuki KAMOCHI
Division of Emergent and Critical Care of Medicine, University of Occupational and Environmental Health

Keywords: acalculous cholecystitis, cardiopulmonary resuscitation, acute myocardial infarction, percutaneous transhepatic gallbladder aspiration

JOURNAL FREE ACCESS

2009 Volume 31 Issue 1 Pages 57-62

DOI https://doi.org/10.7888/juoeh.31.57

Details

Abstract

A 47-year-old man was found at his home in a state of cardiopulmonary arrest. His family performed cardiopulmonary resuscitation on him. He was brought to our hospital by ambulance. On arrival, his pupils were dilated and his heart was in a state of ventricular fibrillation. After returning to spontaneous circulation by the cardiopulmonary resuscitation, the electrocardiogram revealed ST elevation at V2-V5. Cardiac catheterizatin revealed a left anterior descending coronary obstruction. Percutaneous coronary angioplasty was performed. On the 26th day after admission, acalculous cholecystitis was found. It was difficult to perform emergent surgery, because the patient was taking an anticoagulant drug. We performed PTGBA (percutaneous transhepatic gallbladder aspiration) on the same day, and the gallbladder inflammation was improved. We consider that PTGBA is an effective treatment for difficult cases of acalcuous cholecystitis.

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