Whittle Carolina, Skoknic Velimir, Maldonado Ignacio, Schiappacasse Giancarlo, Pose Georgette
Facultad de Medicina Clínica Alemana-Universidad del Desarrollo, Santiago, Chile.
Ultrasound Q. 2019 Jun;35(2):195-199. doi: 10.1097/RUQ.0000000000000423.
Congenital variants of the gallbladder development are infrequent and sometimes represent an asymptomatic imaging finding. In this case series, we want to present multimodality imaging findings that permit the diagnosis. Ultrasound, multidetector computed tomography, and magnetic resonance images are included.The proper recognition of these infrequent congenital benign entities avoids unnecessary complementary examinations and misdiagnosis. Although ultrasound represents the most commonly used initial diagnostic tool, the increased use of magnetic resonance imaging and the wide use of multidetector computed tomography make it crucial to know how these entities are seen.A retrospective review of cases of congenital variants of gallbladder through different imaging modalities was performed in our computer archives. Representative images were selected. Agenesis, hypoplasia, septated, duplicated, intrahepatic, and left-sided gallbladder are described.Better understanding and recognition of congenital anomalies in gallbladder images will avoid misdiagnosis.
胆囊发育的先天性变异并不常见，有时表现为无症状的影像学表现。在本病例系列中，我们希望展示有助于诊断的多模态影像学表现。其中包括超声、多排螺旋计算机断层扫描和磁共振成像。正确识别这些罕见的先天性良性病变可避免不必要的补充检查和误诊。尽管超声是最常用的初始诊断工具，但磁共振成像的使用增加以及多排螺旋计算机断层扫描的广泛应用使得了解这些病变的影像学表现至关重要。我们在计算机存档中对通过不同成像方式诊断的胆囊先天性变异病例进行了回顾性研究。选取了代表性图像。描述了胆囊缺如、发育不全、分隔、重复、肝内和左侧胆囊等情况。更好地理解和识别胆囊图像中的先天性异常将避免误诊。
