Gallbladder perforation: a rare complication of postoperative chemotherapy of gastric cancer

World Journal of Surgical Oncology

Hongliang Guo¹  Jianning Li²  Qingsheng Hou²  Wentao Song¹  Yanlai Sun¹ 

[1] Department of Colorectal Cancer Surgery, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Jinan 250117, China;Department of Anesthesiology and Operation, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan 250031, China

关键词: Complication;    Gastric cancer;    Postoperative chemotherapy;    Gallbladder perforation;   

Others  :  1223980
DOI  :  10.1186/s12957-015-0659-6

 received in 2015-05-16, accepted in 2015-07-22,  发布年份 2015

【 摘 要 】

A middle-aged man presented 1 day after being discharged from hospital with completing the first course of postoperative chemotherapy. He suffered a sudden persistent high fever and chills. It was noted that he had a history of a total gastrectomy (with D2 lymphadenectomy) 1 month ago. His admission bloods revealed total bilirubin was 142.2umol/L , indirect bilirubin of 107.6umol/L and white cell count of 20.05×10 ⁹ /L. A color doppler ultrasound scan confirmed fluid and gas around liver and hilus lienis while the gallbladder cannot be detected. During Computed Tomography (CT) guided puncture positioning technology and setting a three-channel tube, about 400 ml of foul smell hazel turbid liquid was drained out. He was diagnosed as gallbladder perforation and he was underwent conservative treatment consist of drainage, banning diet, total parenteral nutrition and intravenous antibiotics. Then he recovered well within the subsequent 10 days and was discharged.

【 授权许可】

   
2015 Sun et al.

【 图 表 】

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