Cöl C, Boran C, Turkeli V, Dinler K, Kordon O, Erkol H, Sengul N
Department of General Surgery, Abant Izzet Baysal University Medical School, Turkey.
Acta Clin Belg. 2007 Mar-Apr;62(2):120-2. doi: 10.1179/acb.2007.020.
Heterotopic gastric tissue in the gallbladder is an extremely rare condition. There is not any specific clinical or laboratory finding and correct diagnosis is not possible before histopathological examination. Preoperative diagnosis usually resembles a polypoid Lesion or a fixed gallstone. We reported a 34-year-old female patient with heterotopic gastric mucosa in the gallbladder associated with congenital hip dysplasia and kidney agenesis. Laparoscopic cholecystectomy was performed and histopathology of the resected specimen showed that the "polyp" consisted of heterotopic gastric mucosa with glands of body and fundic type. Some cases of heterotopia in the gallbladder come from metaplasia, and may be one of the causes of gall bladder cancer. We discussed the clinical and histologic features of heterotopic gastric tissues and reviewed reported cases in the literature.
胆囊内的异位胃组织是一种极其罕见的病症。没有任何特异性的临床或实验室检查结果,在组织病理学检查之前无法做出正确诊断。术前诊断通常类似于息肉样病变或固定的胆结石。我们报告了一名34岁女性患者,其胆囊内有异位胃黏膜,同时伴有先天性髋关节发育不良和肾缺如。实施了腹腔镜胆囊切除术,切除标本的组织病理学检查显示,“息肉”由具有胃体和胃底型腺体的异位胃黏膜组成。胆囊内的一些异位病例源于化生,可能是胆囊癌的病因之一。我们讨论了异位胃组织的临床和组织学特征,并回顾了文献中报道的病例。