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1例左侧胆囊伴发育不全性胆囊管的急性胆囊炎患者的罕见病例

A Rare Case of a Left-sided Gallbladder Accompanied with an Aplastic Cystic Duct in a Patient with Acute Cholecystitis.

作者信息

Chatzifotiou Dimitrios, Schnell Martin, Lupascu Bogdan, Gundlach Matthias

机构信息

Clinic of General-, Visceral- and Thoraxsurgery, Hegau Bodensee Clinic, Singen, Germany.

出版信息

Am J Case Rep. 2020 Feb 19;21:e920821. doi: 10.12659/AJCR.920821.

Abstract

BACKGROUND A left-sided gallbladder without situs inversus is a rare congenital anomaly of the gallbladder with a prevalence ranging from 0.04-0.3%. CASE REPORT We present a case of a female patient, referred to our clinic with clinical features of an acute cholecystitis. After performing the standard preoperative investigations, which confirmed the diagnosis, the patient underwent a laparoscopic cholecystectomy. We found a left-sided gallbladder, attached to the lower surface of the left lobe of the liver. During the dissection in the Callot triangle an aplastic cystic duct was also identified. The extirpation of the gallbladder was performed anterograde, allowing a better exposition of the critical structures. CONCLUSIONS A left sided gallbladder is almost an incidental finding, which can be accompanied with further anomalies of the biliary tree. A combination of these 2 variations is very rare without any other reported cases in the literature.

摘要

背景 无内脏反位的左侧胆囊是一种罕见的胆囊先天性异常,患病率为0.04 - 0.3%。病例报告 我们报告一例女性患者,因急性胆囊炎的临床特征转诊至我院。在进行标准的术前检查确诊后,患者接受了腹腔镜胆囊切除术。我们发现一个左侧胆囊,附着于肝左叶的下表面。在胆囊三角区解剖时,还发现了一条发育不全的胆囊管。胆囊切除采用顺行法进行,以便更好地暴露关键结构。结论 左侧胆囊几乎是偶然发现的,可能伴有胆道树的其他异常。这两种变异同时存在非常罕见,文献中尚无其他报道病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/695f/7048323/4dca8bad5cfc/amjcaserep-21-e920821-g001.jpg

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