Chuang V P
AJR Am J Roentgenol. 1976 Sep;127(3):417-21. doi: 10.2214/ajr.127.3.417.
There are four types of aberrant gallbladder: (1) intrahepatic, (2) left-sided, (3) transverse, and (4) retrodisplaced. Five cases of the first three types are illustrated. In three of the five patients the aberrant gallbladder produced false positive liver scans which were correctly diagnosed by hepatic angiography; in one it caused the hepatic angiogram to be misinterpreted. The importance of identifying the gallbladder at hepatic angiography by observing the cystic arteries in arterial phase and the gallbladder wall stain in hepatogram phase is stressed.
(1)肝内型,(2)左侧型,(3)横位型,以及(4)后移位型。文中展示了前三型中的五例病例。在这五例患者中的三例,异常胆囊导致肝脏扫描出现假阳性结果,而通过肝血管造影得以正确诊断;在另一例中,它致使肝血管造影被误判。强调了在肝血管造影时通过观察动脉期的胆囊动脉以及肝实质期的胆囊壁染色来识别胆囊的重要性。