Miyake H, Aikawa H, Hori Y, Mori H, Sakamoto I, Matsuoka Y, Himeno K, Yamashita H
Department of Radiology, Medical College of Oita, Japan.
Gastrointest Radiol. 1992 Winter;17(1):21-3. doi: 10.1007/BF01888501.
Adenomyomatosis of the gallbladder is frequently seen in ordinary operative specimens. Subserosal fat may proliferate in the presence of adenomyomatosis, but the amount of subserosal fat may be quite variable. Typical and atypical computed tomographic (CT) findings in two cases of adenomyomatosis with subserosal fatty proliferation of the gallbladder are presented. The thick fatty layer surrounding the thickened gallbladder wall with intramural diverticula and stones, typical of CT findings, was seen in one case, and fat interspersed in the periphery of the thickened gallbladder wall without intramural stones, atypical of CT findings, was seen in a second case.
胆囊腺肌增生症在普通手术标本中较为常见。在存在腺肌增生症时,浆膜下脂肪可能会增生,但浆膜下脂肪的量可能差异很大。本文介绍了两例伴有胆囊浆膜下脂肪增生的腺肌增生症的典型和非典型计算机断层扫描(CT)表现。一例可见典型的CT表现,即增厚的胆囊壁周围有厚厚的脂肪层,伴有壁内憩室和结石;另一例可见非典型的CT表现,即增厚的胆囊壁周边有散在的脂肪,无壁内结石。