A Successfully Saved Case of Severe Lactic Acidosis Immediately after an Extended Hepatectomy for Hepatic Inflammatory Pseudotumor.
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Accession number;03A0117090
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| Title;A Successfully Saved Case of Severe Lactic Acidosis Immediately after an Extended Hepatectomy for Hepatic Inflammatory Pseudotumor. |
| Author;
KIKUCHI HIROAKI
(Showa Univ., Fujigaoka Hospital, JPN)
MIDORIKAWA TAKEMASA
(Showa Univ., Fujigaoka Hospital, JPN)
ISHIBASHI KAZUYOSHI
(Showa Univ., Fujigaoka Hospital, JPN)
SAITO MITSUO
(Showa Univ., Fujigaoka Hospital, JPN)
MAESAWA KOJI
(Showa Univ., Fujigaoka Hospital, JPN)
NEMOTO HIROSHI
(Showa Univ., Fujigaoka Hospital, JPN)
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Journal Title;Journal of Japan Surgical Association
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Journal Code:Z0103A
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ISSN:1345-2843
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VOL.64;NO.1;PAGE.159-163(2003)
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| Figure&Table&Reference;FIG.5, TBL.1, REF.8 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A 54-year-old man with diabetes mellitus was referred to the hospital because of a high fever and right hypochondralgia. Abdominal ultrasonography and an abdominal CT scan revealed a giant lesion 10 cm in diameter in the right hepatic lobe. Since a possibility of a malignant tumor could not be ruled out on the basis of these findings, an extended right hepatectomy was performed following PTPE. He developed severe metabolic acidosis and septic shock immediately after the operation. His life was successfully saved by administration of acetated Ringer's solution, dopamin, and antibiotics. It should be kept in mind that a hepatic resection for an inflammatory liver tumor can cause metabolic acidosis after surgery, if the patient has risk factors including diabetes mellitus, intraoperative hypotension, and septicemia. (author abst.) |
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