{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,2,11]],"date-time":"2023-02-11T05:27:36Z","timestamp":1676093256112},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"01\/02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Anamnese\u2002Ein 88-j\u00e4hriger Patient stellte sich mit seit mehr als 4 Monaten dauerndem wiederkehrendem Fieber, Schw\u00e4che und \u00dcbelkeit ohne Erbrechen vor. Mehrere Krankenhausaufenthalte folgten, aber der Grund daf\u00fcr blieb unklar. 11 Jahre zuvor war eine laparoskopische Cholezystektomie erfolgt.<\/jats:p><jats:p>\n          Untersuchung\u2002Laborchemisch zeigten sich eine Leukozytose und erh\u00f6htes C-reaktives Protein. Die CT-Untersuchung des Abdomens ergab einen grossen Abszess, der von der intraabdominalen H\u00f6hle bis zum Subkutangewebe nahe der Lendenwirbels\u00e4ule L2 bis L5 reichte.<\/jats:p><jats:p>\n          Diagnose\u2002Vermutet wurde ein intraperitonealer Abszess im Rahmen eines verlorenen Gallensteins bei der Cholezystektomie vor 11 Jahren.<\/jats:p><jats:p>\n          Therapie und Verlauf\u2002Der Patient wurde operiert und mit Antibiotika behandelt. Postoperativ erlitt er ein Delir. Nach l\u00e4ngerer sekund\u00e4rer Wundheilung und Antibiotikatherapie war der Patient infektfrei und konnte nach einer Rehabilitation nach Hause entlassen werden.<\/jats:p><jats:p>\n          Folgerung\u2002Die Diagnosestellung wurde durch die f\u00fcr geriatrische Patienten h\u00e4ufig atypische Klinik erschwert. Diagnostische Verz\u00f6gerungen und rezidivierende Hospitalisierungen erh\u00f6hen das Morbidit\u00e4ts- und Letalit\u00e4tsrisiko. Obwohl der Gallenstein nie geborgen werden konnte, war eine andere Ursache seiner Beschwerden unwahrscheinlich, zumal der Patient seitdem infektfrei blieb.<\/jats:p>","DOI":"10.1055\/a-1961-3597","type":"journal-article","created":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T23:37:11Z","timestamp":1672702631000},"page":"40-43","source":"Crossref","is-referenced-by-count":0,"title":["Ein steiniger Weg \u2013 Komplikationen eines verlorenen Gallensteins"],"prefix":"10.1055","volume":"148","author":[{"given":"Dikyi Joyce","family":"Ponse","sequence":"additional","affiliation":[{"name":"Departement Innere Medizin, Kantonsspital Graub\u00fcnden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina Heim","family":"Classen","sequence":"additional","affiliation":[{"name":"Departement Innere Medizin, Akutgeriatrie, Kantonsspital Graub\u00fcnden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael","family":"Jeker","sequence":"additional","affiliation":[{"name":"Departement Innere Medizin, Departementsleitung, Kantonsspital Graub\u00fcnden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,1,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1001\/archsurg.1992.01420080051008","article-title":"Laparoscopic cholecystectomy. 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