Suliman E, Palade R, Voiculescu D, Simion G
Spitalul universitar de Urgenţă Bucureşti, Clinica Chirurgie I, Bucureşti, Romania.
Chirurgia (Bucur). 2010 May-Jun;105(3):431-4.
Porcelain gallbladder (PG) is a rare entity. It's frequently associated with cholecyst lithiasis (90%). Diagnosis is established based on imaging assays (simple abdominal radiography, ultrasound and/or abdominal CT). Pathologically is an extensive process of calcification of the gallbladder wall. The literature mentioned strongly PG association with cancer of the gallbladder. Therefore laparoscopic cholecystectomy was formally contraindicated. We present two cases of PG laparoscopically operated and with this occasion we review particular aspects of diagnosis and treatment of the disease.
瓷性胆囊(PG)是一种罕见的病症。它常与胆囊结石相关(90%)。诊断基于影像学检查(简单的腹部X线摄影、超声和/或腹部CT)。病理上是胆囊壁广泛的钙化过程。文献强烈提及瓷性胆囊与胆囊癌有关联。因此,腹腔镜胆囊切除术曾被明确列为禁忌。我们呈现两例接受腹腔镜手术的瓷性胆囊病例,并借此回顾该疾病诊断和治疗的特殊方面。