胆囊血管发育异常
Angiodysplasia of the gallbladder.
作者信息
Kok Kenneth Y Y, Telisinghe Pemasiri U
机构信息
Department of General Surgery, Ripas Hospital, Bandar Seri Begawan BA1710, Brunei.
出版信息
Int J Surg Case Rep. 2011;2(8):256-7. doi: 10.1016/j.ijscr.2011.08.004. Epub 2011 Aug 26.
INTRODUCTION
Angiodysplasia is a term used to describe distinct mucosal vascular ectasias found mainly in the gastrointestinal tract. Angiodysplasia of the gallbladder is exceedingly rare.
PRESENTATION OF CASE
We encountered a patient who presented with biliary colic and subsequently underwent an elective laparoscopic cholecystectomy. The angiodysplasia of the gallbladder was found incidentally on histopathological examination of the excised gallbladder.
DISCUSSION
Review of the literature showed only one other reported case of angiodysplasia of the gallbladder. The condition may be found incidentally after histopathological examination of the gallbladder removed for gallstone; or it may present with haemobilia.
CONCLUSION
We presented an extremely rare case of angiodysplasia of the gallbladder, which was found incidentally after histopathological examination of the gallbladder removed for gallstone. Angiodysplasia of the gallbladder has the potential to bleed. Laparoscopic cholecystectomy is effective in providing a definitive cure.
引言
血管发育异常是一个用于描述主要在胃肠道发现的独特黏膜血管扩张的术语。胆囊血管发育异常极为罕见。
病例介绍
我们遇到一名患者，其表现为胆绞痛，随后接受了择期腹腔镜胆囊切除术。胆囊血管发育异常是在切除胆囊的组织病理学检查中偶然发现的。
讨论
文献回顾显示仅有另一例报道的胆囊血管发育异常病例。这种情况可能在因胆结石而切除的胆囊进行组织病理学检查后偶然发现；或者可能表现为胆道出血。
结论
我们报告了一例极为罕见的胆囊血管发育异常病例，该病例是在因胆结石而切除的胆囊进行组织病理学检查后偶然发现的。胆囊血管发育异常有出血的可能。腹腔镜胆囊切除术是提供确定性治愈的有效方法。
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