12 cases of gallbladder perforation Misdiagnosis.docVIP

 PAGE \* MERGEFORMAT 9 12 cases of gallbladder perforation Misdiagnosis Of: Cuiren Gang Ming will Cuixu Jie Shanghai Feng [Abstract] Objective: To analyze the clinical characteristics of gallbladder perforation and causes of misdiagnosis. Methods: A retrospective analysis from January 1998 to December 2009 Surgical treatment of gallbladder perforation in 18 cases, of which 12 cases of misdiagnosis. Results: 12 cases were diagnosed surgery, Misdiagnosis of perforation on the consumption of which 4 cases, 5 cases of appendicitis, cholelithiasis and acute cholangitis in 3 cases. Conclusion: The clinical importance of this disease should be checked, especially in elderly patients to reduce misdiagnosis. [Keywords:] gallbladder perforation; misdiagnosed; clinical characteristics Often secondary to gallbladder perforation in acute gangrenous cholecystitis, the clinical rare. In our hospital from January 1998 to December 2009 18 cases of surgical treatment of gallbladder perforation, of which 12 cases of misdiagnosis. Now features gallbladder perforation and misdiagnosis as follows. 1 Clinical data 1.1 General Information Same period 18 cases of gallbladder perforation, of which 12 cases of misdiagnosed patients were misdiagnosed .12 5 males and 7 females; the youngest 46 years old, maximum 82 years; which 6 cases of gallbladder stone, gallbladder stone common bile duct stones in 2 cases, no bile duct stones in 4 cases. past 3 cases of hypertension and diabetes in 2 cases. 1.2 Clinical manifestations Sudden onset of upper abdominal pain in 5 cases, right upper quadrant pain in 2 cases, metastatic Right lower abdominal pain in 5 cases. All 7 cases of abdominal tenderness, rebound, rebound right in 5 cases of abdominal tenderness. With fever, aversion to cold in 6 cases, with jaundice in 1. 1.3 auxiliary examination Perspective X ray abdomen showed no free gas below the diaphragm .12 patients were treated with ultrasound in 10 cases, 2 p