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作为胆管囊肿和胆囊癌罕见表现的上腹部疝：首例病例报告。

Epigastric hernia as a rare manifestation of a bile duct cyst and gallbladder cancer: A first case report.

作者信息

Alves Ribeiro Mauricio, Mitsumoto Gabriel Lorente, Soares Gallo André, Szutan Luiz Arnaldo

机构信息

School of Medicine, Santa Casa de Sao Paulo School of Medical Sciences, Sao Paulo, SP, Brazil; Liver and Portal Hypertension Group of Surgery Department, Santa Casa de Sao Paulo School of Medical Sciences, Sao Paulo, SP, Brazil.

School of Medicine, Santa Casa de Sao Paulo School of Medical Sciences, Sao Paulo, SP, Brazil.

出版信息

Int J Surg Case Rep. 2020;68:145-147. doi: 10.1016/j.ijscr.2020.02.058. Epub 2020 Feb 29.

DOI:10.1016/j.ijscr.2020.02.058
PMID:32145567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7058844/
Abstract

INTRODUCTION

Elective repair epigastric hernia is a frequent minor surgical procedure. In most cases the hernial content is pre-peritoneal fat.

PRESENTATION OF CASE

We report the case of a patient with epigastric hernia containing part of a bile duct cyst.

DISCUSSION

Bile duct cysts are often asymptomatic, but when symptoms are present they may include intermittent, recurrent epigastric or right hypochondrial pain; abdominal tenderness; fever and mild jaundice.

CONCLUSION

The presence of a bile duct cyst within a hernia is a very rare finding, especially making the diagnosis through an epigastric hernia. This case report is the first of a bile duct cyst within an epigastric hernia.

摘要

引言

择期修复腹股疝是一种常见的小型外科手术。在大多数情况下，疝内容物是腹膜前脂肪。

病例介绍

我们报告一例腹股疝患者，疝内容物包含部分胆管囊肿。

讨论

胆管囊肿通常无症状，但出现症状时可能包括间歇性、复发性上腹部或右季肋部疼痛；腹部压痛；发热和轻度黄疸。

结论

疝内存在胆管囊肿是非常罕见的发现，尤其是通过腹股疝做出诊断。本病例报告是首例关于腹股疝内胆管囊肿的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6522/7058844/b35606648646/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6522/7058844/81c8f6df3d58/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6522/7058844/b35606648646/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6522/7058844/81c8f6df3d58/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6522/7058844/b35606648646/gr2.jpg

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本文引用的文献

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The SCARE 2018 statement: Updating consensus Surgical CAse REport (SCARE) guidelines.SCARE 2018 声明：更新共识手术病例报告（SCARE）指南。
Int J Surg. 2018 Dec;60:132-136. doi: 10.1016/j.ijsu.2018.10.028. Epub 2018 Oct 18.
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Pathogenesis of the epigastric hernia.上腹部疝的发病机制。
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Guidelines for the management of biliary tract and ampullary carcinomas: surgical treatment.胆道和壶腹癌管理指南：手术治疗
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Surgeon perspectives on options for ventral abdominal wall hernia repair: results of a postal questionnaire.外科医生对腹前壁疝修补术选择的观点：邮政问卷调查结果
Hernia. 2005 Oct;9(3):259-62. doi: 10.1007/s10029-005-0331-0. Epub 2005 Oct 22.
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Epigastric hernia and its etiology.腹股沟疝及其病因。 （注：原文中的“Epigastric”有误，正确的是“Epigastrium”，意为上腹部，这里按照正确内容翻译为“腹股沟疝”，但如果按照错误的“Epigastric”翻译则是“上腹部疝”，可能与你实际需求不符，你可根据实际情况调整。） 正确译文应该是：上腹部疝及其病因。
Hernia. 2002 Sep;6(3):148-50. doi: 10.1007/s10029-002-0074-0. Epub 2002 Jul 13.
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Acute acalculous cholecystitis due to an incarcerated epigastric hernia.嵌顿性上腹疝导致的急性非结石性胆囊炎。
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Biliary cysts.胆管囊肿
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