title: Acute gallbladder necrosis in a patient with acute type B aortic dissection.
abstract: Although vascular complications induced by acute aortic dissection are varied and common, gallbladder necrosis induced by acute aortic dissection is rare. We experienced the case of a 42-year-old woman who suffered from acute gallbladder necrosis that occurred the following day after the onset of acute type B aortic dissection. Contrasted computed tomography, which showed the thickened wall of the gallbladder and the pericholecystic fluid, as well as the occluded celiac artery, was an effective diagnostic procedure. We performed cholecystectomy and revascularization of the celiac artery using autologous saphenous vein. Her postoperative course was uneventful, and she was discharged after 20 postoperative days.
authors.affiliation: Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Hokkaido, Japan.
authors.forename: Toshiro
authors.initials: T
authors.lastname: Ito
authors.affiliation: Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Hokkaido, Japan.
authors.forename: Naomi
authors.initials: N
authors.lastname: Yasuda
authors.affiliation: Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Hokkaido, Japan.
authors.forename: Yohsuke
authors.initials: Y
authors.lastname: Kuroda
authors.affiliation: Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Hokkaido, Japan.
authors.forename: Motoshi
authors.initials: M
authors.lastname: Sugawara
authors.affiliation: Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Hokkaido, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Koyanagi
authors.affiliation: Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Hokkaido, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Higami
keywords: acute aortic dissection; acute gallbladder necrosis; visceral malperfusion