Clinical case of an unrecognized gallstone disease in a patient of an older age group
https://doi.org/10.31146/1682-8658-ecg-166-6-113-121
Abstract
The article presents an analysis of a clinical case of unrecognized gallstone disease with perforation of the gallbladder complicated by peritonitis in a patient of the old age group. Difficulties in diagnosing the underlying disease that led to the death of the patient were associated with pathological syndromes and features of their course characteristic of the elderly age group, as well as with the use of multidrug therapy, which masked the clinical picture of the disease. However, the crucial role in the adverse outcome of the disease in this patient was played by the errors in the provision of medical care, due to the underestimation of the results of diagnostic clinical, laboratory and instrumental tests, as well as the formal maintenance of medical records.
Keywords
желчекаменная болезнь,
прободение желчного пузыря,
перитонит,
полиморбидность,
полифармация,
гериатрические синдромы,
падения,
gallstone disease,
perforation of the gallbladder,
peritonitis,
polymorbidity,
polypharmacy,
geriatric syndromes,
falls
About the Authors
M. I. Savelyeva
Russian Medical Academy of Continuous Professional Education Ministry of Healthcare of the Russian Federation
Russian Federation
V. A. Shalygin
Russian Medical Academy of Continuous Professional Education Ministry of Healthcare of the Russian Federation
Russian Federation
E. S. Ilyina
Russian Medical Academy of Continuous Professional Education Ministry of Healthcare of the Russian Federation
Russian Federation
I. I. Sinitsina
Russian Medical Academy of Continuous Professional Education Ministry of Healthcare of the Russian Federation
Russian Federation
D. A. Sychev
Russian Medical Academy of Continuous Professional Education Ministry of Healthcare of the Russian Federation
Russian Federation
For citations:
Savelyeva M.I.,
Shalygin V.A.,
Ilyina E.S.,
Sinitsina I.I.,
Sychev D.A.
Clinical case of an unrecognized gallstone disease in a patient of an older age group. Experimental and Clinical Gastroenterology. 2019;(6):113-121.
(In Russ.)
https://doi.org/10.31146/1682-8658-ecg-166-6-113-121
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