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胆囊并发造口旁疝。

Gallbladder complicating a parastomal hernia.

作者信息

Rogers Peter, Lai Alvin, Salama Paul

机构信息

Joondalup Health Campus, Western Australia.

Royal Perth Hospital, Western Australia.

出版信息

J Surg Case Rep. 2019 Apr 10;2019(4):rjz107. doi: 10.1093/jscr/rjz107. eCollection 2019 Apr.

DOI:10.1093/jscr/rjz107
PMID:30997013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6457066/
Abstract

The presence of the gallbladder in a parastomal hernia is exceeding rare. We present the case of a 75-year-old female with a parastomal hernia complicated by presence of the gallbladder. The patient was managed with surgical intervention to repair the hernia and reduce the gallbladder to its correct abdominal position without cholecystectomy. She recovered well from her surgical repair, and was recurrence free at her 6-month outpatient visit. This is the one of seven reported cases of parastomal gallbladder herniation and fits with known pre determinants of advanced age and being female. We present this case due its interesting and novel nature.

摘要

胆囊出现在造口旁疝中极为罕见。我们报告一例75岁女性患者，其造口旁疝合并胆囊存在。该患者接受了手术干预，修复疝并将胆囊复位至正确的腹腔位置，未进行胆囊切除术。她手术修复后恢复良好，6个月门诊随访时无复发。这是已报道的七例造口旁胆囊疝病例之一，符合高龄和女性这两个已知的先决因素。我们呈现此病例是因其有趣且新颖。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9d0/6457066/6d7cd3338384/rjz107f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9d0/6457066/a1478baf4e5a/rjz107f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9d0/6457066/7d870fff27d8/rjz107f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9d0/6457066/6d7cd3338384/rjz107f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9d0/6457066/a1478baf4e5a/rjz107f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9d0/6457066/7d870fff27d8/rjz107f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9d0/6457066/6d7cd3338384/rjz107f03.jpg

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本文引用的文献

1
Acute cholecystitis in a parastomal hernia causing a small bowel obstruction.造口旁疝并发急性胆囊炎致小肠梗阻
J Surg Case Rep. 2017 Dec 29;2017(12):rjx235. doi: 10.1093/jscr/rjx235. eCollection 2017 Dec.
2
Parastomal gallbladder hernia in a septic patient.一名脓毒症患者发生的造口旁胆囊疝。
Radiol Case Rep. 2017 Jun 22;12(3):508-510. doi: 10.1016/j.radcr.2017.05.009. eCollection 2017 Sep.
3
Case report and operative management of gallbladder herniation.胆囊疝的病例报告及手术治疗
BMJ Case Rep. 2021 Jun 30;14(6):e240030. doi: 10.1136/bcr-2020-240030.
4
Parastomal Gallbladder Herniation as an Incidental Preoperative Computed Tomography Finding.术前计算机断层扫描偶然发现的造口旁胆囊疝
Case Rep Radiol. 2021 Feb 11;2021:8864347. doi: 10.1155/2021/8864347. eCollection 2021.
5
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Int J Surg Case Rep. 2020;73:338-341. doi: 10.1016/j.ijscr.2020.07.002. Epub 2020 Jul 26.
BMC Surg. 2015 Jun 11;15:72. doi: 10.1186/s12893-015-0056-7.
4
Gallbladder torsion resulting in gangrenous cholecystitis within a parastomal hernia: findings on unenhanced CT.胆囊扭转导致造口旁疝内坏疽性胆囊炎：平扫CT表现
J Radiol Case Rep. 2013 Dec 1;7(12):21-5. doi: 10.3941/jrcr.v7i12.1518. eCollection 2013 Dec.
5
Parastomal herniation of the gallbladder.胆囊造口旁疝
Hernia. 2005 Dec;9(4):397-9. doi: 10.1007/s10029-005-0340-z. Epub 2005 May 24.
6
Surgical images: soft tissue. Incarcerated gallbladder in a parastomal hernia.手术图像：软组织。造口旁疝中的嵌顿胆囊。
Can J Surg. 2005 Feb;48(1):46.
7
Gallbladder volvulus in the elderly. An emergent surgical disease.老年人胆囊扭转。一种紧急外科疾病。
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