Seyal Adeel R, Parekh Keyur, Gonzalez-Guindalini Fernanda D, Nikolaidis Paul, Miller Frank H, Yaghmai Vahid
Department of Radiology, Northwestern Memorial Hospital, Northwestern University-Feinberg School of Medicine, 676 North Saint Clair Street Suite 800, Chicago, IL, 60611, USA.
Abdom Imaging. 2014 Aug;39(4):853-74. doi: 10.1007/s00261-014-0121-1.
Gallbladder perforation is a potentially life-threatening condition commonly seen as a complication of acute cholecystitis. Urgent surgical intervention is often needed to reduce serious morbidity and mortality. It presents a diagnostic challenge due to nonspecific symptoms, leading to a delay in diagnosis. Imaging plays a vital role in early identification of this potentially fatal condition and evaluation by more than one imaging modality may be required to make the diagnosis. Knowledge of specific and ancillary imaging findings is crucial to avoid misdiagnosis. In this article, we will review the risk factors, pathophysiology, and surgical classification of gallbladder perforation and discuss the role of multimodality imaging in its diagnosis. Differential diagnoses on imaging will also be discussed.
胆囊穿孔是一种潜在的危及生命的疾病，常见于急性胆囊炎的并发症。通常需要紧急手术干预以降低严重的发病率和死亡率。由于症状不具特异性，其诊断具有挑战性，会导致诊断延迟。影像学在早期识别这种潜在致命疾病中起着至关重要的作用，可能需要采用多种影像学检查手段进行评估才能做出诊断。了解特定的和辅助的影像学表现对于避免误诊至关重要。在本文中，我们将回顾胆囊穿孔的危险因素、病理生理学和手术分类，并讨论多模态影像学在其诊断中的作用。还将讨论影像学上的鉴别诊断。
