Aydin Hasan, Aydin Z Banu, Hekimoğlu Baki, Görmeli Ayşe
Radiology Department, Diskapi Yildirim Beyazit Education and Research Hospital, 06660 Ankara, Turkey.
Case Rep Radiol. 2013;2013:854686. doi: 10.1155/2013/854686. Epub 2013 Feb 11.
Gall bladder (GB) may be found in a variety of abnormal positions. Most of them are due to arrested development of embryonic growth at different stages. A 63-year-old female patient was admitted to our radiology unit for magnetic resonance imaging (MRI) of the liver for the lesions identified in abdominal ultrasonography (US) and computed tomography (CT). MRI showed that there was a lobulated heterogenous mass in the left lobe of the liver and a smaller one in the right lobe of the liver with the same appearance. The inferior pole of the liver was located in the pelvic space, and the GB, which contained sludges and stones, was lying down to the upper pelvic space. Hepatic masses were considered to be hemangiomas, and GB was diagnosed as ptotic GB with luminal sludge and stones. In this case, especially, MR imaging helped the surgeon to plan a proper approach to the GB in abnormal localization.
胆囊（GB）可能处于多种异常位置。其中大多数是由于胚胎发育在不同阶段停滞所致。一名63岁女性患者因腹部超声（US）和计算机断层扫描（CT）发现的肝脏病变而入住我们的放射科进行肝脏磁共振成像（MRI）检查。MRI显示肝脏左叶有一个分叶状不均匀肿块，右叶有一个较小的、外观相同的肿块。肝脏下极位于盆腔间隙，含有淤泥和结石的胆囊则位于上盆腔间隙。肝脏肿块被认为是血管瘤，胆囊被诊断为脱垂胆囊伴腔内淤泥和结石。在这种情况下，尤其是磁共振成像帮助外科医生为异常定位的胆囊制定了合适的手术方案。
