Fog I, Sloth H, Søndergaard G, Svendsen F M
Holstebro Centralsygehus, radiologisk og medicinsk afdeling.
Ugeskr Laeger. 1991 Mar 4;153(10):701-5.
Adenomyomatosis of the gall bladder is a condition of benign hyperplasia of unknown etiology. Characteristic of the condition is local or diffuse thickening of the muscular layer with invagination of the epithelium forming the so-called Rokitansky-Aschoff's sinus. The prevalence is unknown. In a prospective autopsy material, localized adenomyomatosis, adenomyoma, was found in 7%. This is considered to be the lowest value for the prevalence in the older age groups. Cholecystography and cholecystectomy materials show varying frequencies of adenomyomatosis, 2-33%. There is no definite proof that adenomyomatosis is a symptom-producing condition but several studies suggest that it may be and that in selected cases it may be treated by cholecystectomy. Selection depends upon the duration and severity of the symptoms. Routine diagnosis may be made with the aid of ultrasonic scanning. In more obscure cases with symptoms from the biliary tract, oral cholecystegraphy may be recommended possibly including exposures after a meal rich in fats or after administration of cholecystokinine.
胆囊腺肌增生症是一种病因不明的良性增生性疾病。该病的特征是肌层局部或弥漫性增厚，上皮内陷形成所谓的罗-阿窦。其患病率未知。在一份前瞻性尸检材料中，发现局限性腺肌增生症（腺肌瘤）的发生率为7%。这被认为是老年人群中患病率的最低值。胆囊造影和胆囊切除术材料显示腺肌增生症的发生率各不相同，为2%至33%。尚无确凿证据表明腺肌增生症是一种产生症状的疾病，但多项研究表明它可能是，且在某些病例中可通过胆囊切除术进行治疗。治疗选择取决于症状的持续时间和严重程度。常规诊断可借助超声扫描进行。在更隐匿的有胆道症状的病例中，可能建议进行口服胆囊造影，可能包括在进食富含脂肪的食物后或注射胆囊收缩素后进行造影。
