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胆囊通过腹壁疝突出并伴有Mirizzi综合征。

Herniation of the gallbladder within a hernia of the abdominal wall associated with Mirizzi Syndrome.

作者信息

Paolino LA, Millan M, Bossi M, Champault G, Barrat C

机构信息

Université Paris XII-UFR SMBH "Léonard de Vinci", Bondy, France.

出版信息

J Surg Case Rep. 2011 Apr 1;2011(4):3. doi: 10.1093/jscr/2011.4.3.

DOI:10.1093/jscr/2011.4.3
PMID:24950574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3649236/
Abstract

A gallbladder incarcerated hernia associated with Mirizzi syndrome is a very rare entity and to our knowledge this is the first case ever described in literature. An 85-year-old man presented at the emergency department with a tender right upper quadrant mass. Computed Tomography (CT) revealed the presence of a gallbladder lithiasis with signs of acute cholecystitis, herniated through the abdominal wall with an associated Mirizzi syndrome. Laparoscopic cholecystectomy and repair of the abdominal wall defect were performed. The patient recovered very well and the postoperative period was uneventful.

摘要

胆囊嵌顿疝合并Mirizzi综合征是一种非常罕见的疾病,据我们所知,这是文献中首次描述的病例。一名85岁男性因右上腹压痛性肿块就诊于急诊科。计算机断层扫描(CT)显示存在胆囊结石并伴有急性胆囊炎体征,胆囊通过腹壁疝出并伴有Mirizzi综合征。实施了腹腔镜胆囊切除术和腹壁缺损修复术。患者恢复良好,术后过程顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db63/3649236/9f729417b8bf/jscr-2011-4-3fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db63/3649236/b727452d7521/jscr-2011-4-3fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db63/3649236/9f729417b8bf/jscr-2011-4-3fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db63/3649236/b727452d7521/jscr-2011-4-3fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db63/3649236/9f729417b8bf/jscr-2011-4-3fig2.jpg

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本文引用的文献

1
Herniation of the gall bladder through the abdominal wall.胆囊经腹壁突出。
Australas Radiol. 2007 Dec;51 Suppl:B296-8. doi: 10.1111/j.1440-1673.2007.01825.x.
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Parastomal herniation of the gallbladder.胆囊造口旁疝
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Gallbladder strangulation within an incisional hernia.切口疝内的胆囊绞窄
胆囊疝的病例报告及手术治疗
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Ann Surg. 1967 Apr;165(4):644-6. doi: 10.1097/00000658-196704000-00025.
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Subcutaneous herniation of gall-bladder with spontaneous cholecystocutaneous fistula.
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