Gandhi Jamish, Tan Jeffrey, Gandhi Natasha
Department of General Surgery and Gynaecology, Hutt Hospital, Lower Hutt, New Zealand.
Department of General Surgery, Waikato Hospital, Hamilton, New Zealand.
BMJ Case Rep. 2015 Mar 12;2015:bcr2014208917. doi: 10.1136/bcr-2014-208917.
A 32-year-old woman presented with epigastric pain. She was a patient with chronic pain syndrome and had visited the emergency department several times over the past year. She did not drink alcohol. She had a laparoscopic cholecystectomy for gallstone pancreatitis 4 years ago. Her lipase was 2020 with normal bilirubin. MR cholangiopancreatography revealed a cystic structure resembling a gallbladder in the gallbladder fossa. This was in connection with the biliary system. The structure also contained stones. A review of the histology did confirm the gallbladder had been removed. She proceeded to have a laparoscopic re-cholecystectomy and made an unremarkable recovery.
一名32岁女性因上腹部疼痛就诊。她是一名慢性疼痛综合征患者，在过去一年里多次前往急诊科就诊。她不饮酒。4年前因胆石性胰腺炎接受了腹腔镜胆囊切除术。她的脂肪酶为2020，胆红素正常。磁共振胰胆管造影显示胆囊窝内有一个类似胆囊的囊性结构。该结构与胆道系统相连。该结构内也有结石。对组织学检查的复查确实证实胆囊已被切除。她随后接受了腹腔镜再次胆囊切除术，恢复情况良好。
