急性大動脈解離術後に胆囊壊死を合併した超高齢者の1例

Gallbladder Necrosis after Surgery for Stanford Type A Aortic Dissection in an Elderly Patient：Report of a Case

はじめに　超高齢者の急性大動脈解離は術後管理に難渋することが多い．術後に胆囊炎から胆囊壊死，胆囊穿孔をきたした1例を経験したので報告する．

An 86-year-old woman who suffered from cardiac tamponade due to acute Stanford type A aortic dissection was admitted to our hospital. An emergency operation was performed uneventfully. She suffered from abdominal pain 13 days after the operation. Computed tomography （CT） scan revealed pericholecystic fluid and unclear gallbladder wall, revealing acalculous necrotizing cholecystitis. We performed open cholecystectomy and abdominal cavity drainage. No gallstones were observed. She underwent intensive treatment. She was discharged without complications 44 days after the cholecystectomy.