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术中偶然发现胆总管囊肿患者胆囊重复畸形。

Incidental intraoperative finding of gallbladder duplication in a patient with a choledochal cyst.

机构信息

Department of General Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.

Shantou University of Medical College, Shantou, Guangdong Province, China.

出版信息

J Int Med Res. 2020 May;48(5):300060520924570. doi: 10.1177/0300060520924570.

DOI:10.1177/0300060520924570
PMID:32458700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7273775/
Abstract

Here, we report a case of coexistence of a duplicate gallbladder and choledochal cyst, which was overlooked preoperatively and confirmed via intraoperative inspection and pathological examination. We concluded that a high index of suspicion is required to diagnose a double gallbladder, and special attention should be paid to preoperative radiological imaging when treating patients with choledochal cysts because these patients present a higher incidence of biliary anomalies.

摘要

这里,我们报告了一例并存的重复胆囊和胆总管囊肿病例,该病例术前被忽略,通过术中检查和病理检查得到证实。我们得出结论,诊断双胆囊需要高度怀疑,并且在治疗胆总管囊肿患者时应特别注意术前影像学检查,因为这些患者存在更高的胆道异常发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2fe/7273775/feaa0bee58c4/10.1177_0300060520924570-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2fe/7273775/feaa0bee58c4/10.1177_0300060520924570-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2fe/7273775/feaa0bee58c4/10.1177_0300060520924570-fig1.jpg

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引用本文的文献

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Duplicate gallbladders misdiagnosed as residual cholecystitis: A case report and review of the literature.被误诊为残留胆囊炎的重复胆囊:一例病例报告及文献复习
Medicine (Baltimore). 2024 Dec 20;103(51):e40367. doi: 10.1097/MD.0000000000040367.
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3D reconstruction of a gallbladder duplication to guide LC: A case report and literature review.胆囊重复畸形的 3D 重建指导 LC:一例报告及文献复习。
Medicine (Baltimore). 2023 Feb 22;102(8):e33054. doi: 10.1097/MD.0000000000033054.
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Triple gallbladder with heterotopic gastric mucosa: a case report.

本文引用的文献

1
Choledochal Cyst And Biliary Stone.胆总管囊肿与胆石症
J Ayub Med Coll Abbottabad. 2018 Jan-Mar;30(1):127-129.
2
Right Upper Quadrant Pain: When Being in the "Fold" Means Double Trouble.右上腹疼痛:当处于“折叠”状态意味着双重麻烦时。
Dig Dis Sci. 2015 Nov;60(11):3230-3. doi: 10.1007/s10620-015-3856-9. Epub 2015 Sep 22.
3
Massive congenital choledocal cyst.巨大先天性胆总管囊肿
三胆囊伴异位胃黏膜:1 例报告。
BMC Pediatr. 2022 Jan 20;22(1):52. doi: 10.1186/s12887-022-03122-7.
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Gallbladder duplication in a child with choledochal cyst: a rare surgical surprise.患有胆总管囊肿的儿童胆囊重复畸形:一个罕见的手术意外。
BMJ Case Rep. 2021 Jul 27;14(7):e245109. doi: 10.1136/bcr-2021-245109.
Liver Int. 2014 Jul;34(6):e161. doi: 10.1111/liv.12349. Epub 2013 Dec 11.
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Laparoscopic removal of a double gallbladder for cholelithiasis: a case report.腹腔镜下切除双胆囊治疗胆结石:一例报告
Ann R Coll Surg Engl. 2011 Sep;93(6):e105-6. doi: 10.1308/147870811X591161.
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[Cholecystopathy in one of the double gallbladders: ultrasonic diagnosis in one case].[双胆囊之一发生胆囊病变:1例超声诊断]
Di Yi Jun Yi Da Xue Xue Bao. 2004 Dec;24(12):1446-7.
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Intraoperative cholangiography and risk of common bile duct injury during cholecystectomy.术中胆管造影与胆囊切除术期间胆总管损伤的风险
JAMA. 2003 Apr 2;289(13):1639-44. doi: 10.1001/jama.289.13.1639.
7
Experience with laparoscopic double gallbladder removal.腹腔镜双胆囊切除术的经验
Surg Endosc. 1995 Jan;9(1):63-6. doi: 10.1007/BF00187889.
8
Multiple gallbladders.多个胆囊。
Surg Gynecol Obstet. 1977 Dec;145(6):928-34.