Kumagai Y, Kotanagi H, Ishida H, Komatsuda T, Furukawa K, Yamada M, Ohuchi S, Seki H, Sakusabe M
Department of Surgery, Red Cross Hospital, 222-1 Inashirozawa Saruta Kamikitade, Akita, Japan.
Abdom Imaging. 2006 Jul-Aug;31(4):449-52. doi: 10.1007/s00261-005-0393-6.
There is a marked paucity of contrast-enhanced ultrasound (US) findings of gallbladder disease in the literature, and there is only one previous case of gallbladder adenoma. We report such a case. US showed a 2-cm polypoid lesion at the gallbladder body. Color Doppler US showed the hypervascular nature of the lesion, and contrast-enhanced US revealed the lesion to be homogeneously enhanced, suggesting that the lesion was composed of the same pathology. The lesion was surgically resected, and was found to be an adenoma without cancer foci. This case suggests that contrast-enhanced US is an effective tool in diagnosing a gallbladder adenoma.
文献中关于胆囊疾病的超声造影（US）表现明显较少，之前仅有一例胆囊腺瘤病例报道。我们报告这样一例病例。超声显示胆囊体部有一个2厘米的息肉样病变。彩色多普勒超声显示该病变具有高血管性，超声造影显示病变呈均匀强化，提示该病变由相同病理构成。病变经手术切除，结果发现是一个无癌灶的腺瘤。该病例表明超声造影是诊断胆囊腺瘤的有效工具。
