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胆囊重复畸形与胆囊炎。

Gallbladder duplication and cholecystitis.

作者信息

Apolo Romero Erik Xavier, Gálvez Salazar Patricio Fernando, Estrada Chandi Jorge Abdón, González Andrade Fabricio, Molina Proaño Gabriel Alejandro, Mesías Andrade Fanny Carolina, Cadena Baquero Juan Carlos

机构信息

Department of General Surgery, Hospital Básico Naranjal, Naranjal, Ecuador.

Department of General Surgery, Hospital San Francisco de Quito-IESS, Quito, Ecuador.

出版信息

J Surg Case Rep. 2018 Jul 3;2018(7):rjy158. doi: 10.1093/jscr/rjy158. eCollection 2018 Jul.

Abstract

Cholecystitis is a common gallbladder pathology characterized by abdominal pain, positive Murphy sign and elevated white blood count. Abdominal ultrasound usually gives a definite diagnosis. Duplication of the gallbladder is a rare congenital anomaly that can either be asymptomatic or and can present with symptoms associated with cholelithiasis, cholecystitis, cholangitis or pancreatitis. Clinically indistinguishable from regular gallbladder pathologies. The management of duplicated gallbladder is similar to that of other gallbladder diseases, if one or both gallbladders cause symptoms, cholecystectomy should be done for both gallbladders. We present a case of a 50-year-old female patient, she presented to the emergency room with abdominal pain and tenderness. Ultrasound detected a gallbladder duplication with cholecystitis in one of them and magnetic resonance cholangiopancreatography confirmed this diagnosis. Surgery was decided and the patient underwent full recovery. Y-shaped gallbladder duplication with cholecystitis due to cholelithiasis in one of them was the final diagnosis.

摘要

胆囊炎是一种常见的胆囊病变,其特征为腹痛、墨菲氏征阳性及白细胞计数升高。腹部超声通常可做出明确诊断。胆囊重复畸形是一种罕见的先天性异常,可为无症状性,也可表现为与胆石症、胆囊炎、胆管炎或胰腺炎相关的症状。临床上与普通胆囊病变难以区分。重复胆囊的处理与其他胆囊疾病相似,如果一个或两个胆囊引起症状,应切除两个胆囊。我们报告一例50岁女性患者,她因腹痛和压痛就诊于急诊室。超声检测发现胆囊重复畸形,其中一个胆囊合并胆囊炎,磁共振胰胆管造影证实了这一诊断。决定进行手术,患者完全康复。最终诊断为Y形胆囊重复畸形,其中一个胆囊因胆石症合并胆囊炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c67/6030904/482607420f64/rjy158f01.jpg

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