Definitive diagnosis of a duplicate gallbladder can only be made intraoperatively: report of a case
Definitive diagnosis of a duplicate gallbladder can only be made intraoperatively: report of a case
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重复胆囊只能在术中确诊：一例报告
DOI：
10.1007/s12328-014-0494-2
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发表时间：
2014
影响因子：
1
通讯作者：
Baba H
中科院分区：
文献类型：
--
作者：
Ozaki N;Hashimoto D;Ikuta Y;Chikamoto A;Takamori H;Baba H
重复胆囊是一种罕见的先天性异常，在临床实践中很重要，因为它们可能会导致临床，手术和诊断问题。在这里，我们描述的情况下，79岁的女性患者谁提出了急性胆管炎。腹部超声检查、内镜超声检查、计算机断层扫描和磁共振成像显示肝内囊性病变，提示与肝内胆管相通;在囊性病变内未观察到息肉样病变的证据。根据这些发现，怀疑肝内胆管扩张、肝内胆管囊腺瘤和重复胆囊的存在，并进行了手术。在手术过程中，从胆囊管插入胆总管的管子有助于术中胆管造影，这表明存在重复胆囊。因此，我们认为，重复胆囊应该是一个额外的考虑时，典型的胆囊疾病症状，在某些情况下。多模式影像学方法有助于术前或术中诊断。
Duplicated gallbladders are rare congenital anomalies that are important in clinical practice as they may cause clinical, surgical, and diagnostic problems. Here, we describe the case of a 79-year-old female patient who presented with acute cholangitis. Abdominal ultrasonography, endoscopic ultrasonography, computed tomography, and magnetic resonance imaging revealed an intrahepatic cystic lesion, suggesting communication with the intrahepatic bile duct; no evidence of a polypoid lesion within the cystic lesion was observed. Based on these findings, intrahepatic cholangiectasis, intrahepatic bile duct cystadenoma, and the presence of a duplicated gallbladder were suspected, and surgery was performed. During surgery, a tube inserted into the common bile duct from a cystic duct facilitated intraoperative cholangiography, which indicated the presence of a duplicated gallbladder. Thus, we believe that a duplicated gallbladder should be an additional consideration when typical gallbladder disease symptoms are present under certain circumstances. A multimodal imaging approach can help to establish the diagnosis preoperatively or intraoperatively.