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一例双胆囊管单胆囊经腹腔镜胆囊切除术成功治疗:对腹腔镜外科医生的挑战

A Double Cystic Duct With a Single Gallbladder Successfully Treated With Laparoscopic Cholecystectomy: A Challenge to Laparoscopic Surgeons.

作者信息

Anisi Hamed, Vahedian Ardakani Jalal, Khoonsari Mahmoodreza, Chavoshi Khamneh Abdolhamid

机构信息

Department of General Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Department of Internal Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Med Sci. 2020 Sep;45(5):391-394. doi: 10.30476/ijms.2020.83304.1229.

Abstract

Although the cystic duct has diverse variations, a double cystic duct is rarely found. Only 20 cases had been reported until late 2017. In the present study, we describe a 58-year-old woman with a double cystic duct who initially presented with a passed stone and pancreatitis concomitant with a gallbladder containing microlithiasis. The double cystic duct was not detected in preoperative endoscopic ultrasonography; and the anomaly was an incidental finding during laparoscopic cholecystectomy. The patient had no postoperative complications and was discharged uneventfully. Postoperative magnetic resonance cholangiography showed a normal biliary tree structure.

摘要

尽管胆囊管存在多种变异,但双胆囊管却很少见。截至2017年末,仅有20例相关病例报道。在本研究中,我们描述了一名58岁患有双胆囊管的女性,她最初表现为排出结石及胰腺炎,同时胆囊内含有微结石。术前内镜超声未检测到双胆囊管;该异常是在腹腔镜胆囊切除术期间偶然发现的。患者术后无并发症,顺利出院。术后磁共振胆胰管造影显示胆管树结构正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88e0/7519403/9660fb2a7072/IJMS-45-391-g001.jpg

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