Shaw R B, Donato C A, Douglas D D, Sass J K, Montegut F J
Am Surg. 1975 Dec;41(12):818-22.
A sixth case report of multiseptate gallbladder is presented because of its rarity and because of its association in pregnancy. The anomaly has a diagnostic X-ray appearance. As reported in four previously recorded cases, no inflammation was found in our patient's specimen despite symptoms mimicking cholecystitis. Initial presentation and worsening clinical course during the patient's pregnancy lend credence to the idea that symptoms are caused not by inflammation but by pressure in the chambers, caused by relative delay in emptying. Cholecystectomy is recommended because it uniformly has relieved symptoms.
本文报告了第六例多房性胆囊病例，因其罕见性及其与妊娠的关联。该异常在X线诊断中有特定表现。正如之前记录的四例病例所报告的那样，尽管患者症状类似胆囊炎，但在我们患者的标本中未发现炎症。患者孕期的初始表现及病情恶化过程支持了这样一种观点，即症状并非由炎症引起，而是由于胆囊排空相对延迟导致腔内压力升高所致。建议进行胆囊切除术，因为这能一致地缓解症状。
