Simmons T C, Miller C, Pesigan A M, Lewin K J
Department of Pathology, Robert F. Kennedy Medical Center, Hawthorne, California.
Am J Gastroenterol. 1989 Nov;84(11):1427-30.
A case of obstructive jaundice due to extrinsic common bile duct (CBD) pressure from a gallbladder mass is presented. Endoscopic retrograde cholangiopancreatography (ERCP) demonstrated a dilated CBD and a massively dilated gallbladder. Computed tomography scan of the abdomen revealed a multiseptated cystic structure originating from the gallbladder fossa. Histologic sections of the surgical specimen demonstrated a multilocular cyst lined with biliary-type epithelium. Fibromuscular proliferation of the cyst walls also was noted. A literature search did not reveal documentation of a similar gallbladder lesion. We believe this lesion represents the first reported case of gallbladder cystadenoma.
本文报道了一例因胆囊肿物对胆总管（CBD）产生外在压迫导致梗阻性黄疸的病例。内镜逆行胰胆管造影（ERCP）显示胆总管扩张，胆囊大量扩张。腹部计算机断层扫描显示一个起源于胆囊窝的多房囊性结构。手术标本的组织学切片显示一个内衬胆管型上皮的多房囊肿。还注意到囊肿壁有纤维肌肉增生。文献检索未发现类似胆囊病变的记录。我们认为该病变代表首例报道的胆囊囊腺瘤病例。
