Sasaki Takamitsu, Kato Daisuke, Shinya Satoshi, Nakashima Ryo, Shiwaku Hironari, Yamashita Kanefumi, Yamashita Yuichi
Department of Gastroenterological Surgery, Fukuoka University School of Medicine, Fukuoka, Japan.
Asian J Endosc Surg. 2014 Nov;7(4):308-10. doi: 10.1111/ases.12129.
A 75-year-old woman entered the hospital emergency room complaining of severe epigastric pain. She had experienced similar repeated abdominal pain for some time. Biliary tract dyskinesia was suspected based on the Roma III criteria. When drip infusion cholangiography-CT with egg yolk load was performed, the contraction rate of the gallbladder before and after applying the load was as low as 33.5%. Upon biliary tract scintigraphy, biliary excretion into the intestinal tract was found to be normal, but after the egg yolk load, the biliary excretion rate in the gallbladder decreased to 14.5%. Laparoscopic cholecystectomy was performed under a diagnosis of flaccid-type gallbladder dyskinesia. A few reports exist describing cases in which cholecystectomy was performed for gallbladder dyskinesia, so we are submitting this report with some bibliographic consideration.
一名75岁女性因严重上腹部疼痛进入医院急诊室。她在一段时间内曾经历过类似的反复腹痛。根据罗马III标准怀疑为胆道运动障碍。在进行蛋黄负荷滴注胆管造影CT检查时，施加负荷前后胆囊的收缩率低至33.5%。在胆道闪烁扫描中，发现胆汁排入肠道正常，但在蛋黄负荷后，胆囊中的胆汁排泄率降至14.5%。在诊断为松弛型胆囊运动障碍后进行了腹腔镜胆囊切除术。有一些报告描述了因胆囊运动障碍而进行胆囊切除术的病例，因此我们带着一些文献考量提交本报告。
