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漏诊双胆囊的风险:一例需两次进行胆囊切除术患者的报告

Peril of missing a double gall bladder: report of a patient who needed cholecystectomy two times over.

作者信息

Rangarajan Krithika, Chinna Sathya, Nair Nikhil, Das Chandan J

机构信息

Department of Radiodiagnosis, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

All India Institute of Medical Sciences, New Delhi, India.

出版信息

BMJ Case Rep. 2017 Jan 27;2017:bcr2016218248. doi: 10.1136/bcr-2016-218248.

Abstract

Gall bladder (GB) duplication is a rare anomaly, not often seen in regular clinical practice. Though a vestigial organ, the presence of calculi within the GB can cause the patient to be acutely symptomatic with right hypochondriac pain, which can even be life threatening if not treated. The presence of two GBs means this pathology can be seen in both the GBs, highlighting the importance of diagnosing this condition, lest the patient returns years after a cholecystectomy with cholecystitis yet again!

摘要

胆囊重复是一种罕见的异常情况,在常规临床实践中并不常见。尽管胆囊是一个退化器官,但胆囊内结石的存在可导致患者出现右季肋部疼痛的急性症状,如果不进行治疗,甚至可能危及生命。两个胆囊的存在意味着这种病理情况可能在两个胆囊中都出现,这凸显了诊断这种疾病的重要性,以免患者在胆囊切除术后数年再次因胆囊炎复发!

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本文引用的文献

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Asymptomatic true gallbladder duplication.
Dig Liver Dis. 2016 Jan;48(1):97. doi: 10.1016/j.dld.2015.08.008. Epub 2015 Aug 24.
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