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肝胆闪烁显像诊断胆囊结肠瘘：一例报告

Cholecystocolic fistula diagnosis with hepatobiliary scintigraphy: A case report.

作者信息

Mallick Bipadabhanjan, Bhattacharya Anish, Gupta Pankaj, Rathod Srinath, Dahiya Divya, Dutta Usha

机构信息

Department of Gastroenterology Postgraduate Institute of Medical Education and Research Chandigarh India.

Department of Nuclear Medicine Postgraduate Institute of Medical Education and Research Chandigarh India.

出版信息

JGH Open. 2018 Nov 1;3(1):91-93. doi: 10.1002/jgh3.12104. eCollection 2019 Feb.

DOI:10.1002/jgh3.12104
PMID:30834347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6386746/
Abstract

We report a 62-year-old woman who presented with chronic watery diarrhea and weight loss. During evaluation, she was found to have pneumobilia in the absence of gallstones, raising the suspicion of bilioenteric communication. Computed tomography demonstrated adherence of the gallbladder to the adjacent transverse colon. Hepatobiliary scintigraphy demonstrated the presence of a cholecystocolic fistula. A planned uneventful open cholecystectomy with resection of fistulous tract and closure of colonic opening was performed, resulting in the complete resolution of clinical symptoms.

摘要

我们报告了一名62岁女性，她出现慢性水样腹泻和体重减轻。在评估过程中，发现她在没有胆结石的情况下出现气肿性胆囊炎，这引起了胆肠相通的怀疑。计算机断层扫描显示胆囊与相邻的横结肠粘连。肝胆闪烁显像显示存在胆囊结肠瘘。计划进行一次顺利的开放式胆囊切除术，切除瘘管并封闭结肠开口，术后临床症状完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65ba/6386746/0b43b30f2048/JGH3-3-91-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65ba/6386746/775b60af016e/JGH3-3-91-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65ba/6386746/12240c8ef2dd/JGH3-3-91-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65ba/6386746/0b43b30f2048/JGH3-3-91-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65ba/6386746/775b60af016e/JGH3-3-91-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65ba/6386746/12240c8ef2dd/JGH3-3-91-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65ba/6386746/0b43b30f2048/JGH3-3-91-g003.jpg

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本文引用的文献

1
Pneumobilia, chronic diarrhea, vitamin K malabsorption: a pathognomonic triad for cholecystocolonic fistulas.气腹、慢性腹泻、维生素K吸收不良：胆囊结肠瘘的特征性三联征。
World J Gastroenterol. 2009 Aug 28;15(32):4077-82. doi: 10.3748/wjg.15.4077.
2
Cholecystocolonic fistula: facts and myths. A review of the 231 published cases.胆囊结肠瘘：事实与误解。对231例已发表病例的综述。
J Hepatobiliary Pancreat Surg. 2009;16(1):8-18. doi: 10.1007/s00534-008-0014-1. Epub 2008 Dec 17.
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腹腔镜治疗胆囊肠瘘
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Spontaneous internal biliary fistulas.自发性肝内胆管瘘
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