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肝门型 II 型胆总管囊肿误诊为胆囊重复畸形。

Hepatic hilum-type II choledochal cyst masquerading as gallbladder duplication.

机构信息

General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

出版信息

BMJ Case Rep. 2021 Feb 9;14(2):e238971. doi: 10.1136/bcr-2020-238971.

Abstract

Choledochal cyst and gallbladder duplication are rare congenital anomalies. They typically are surgical problems of infancy or childhood but rarely may present in adults also. Despite high resolution imaging, the differentiation of type II choledochal cyst from gallbladder duplication often causes the diagnostic dilemma; which may result in high risk for intraoperative iatrogenic injury. Operative management of choledochal cyst is the definite treatment because of its malignant potential. A type II choledochal cyst arising from the hepatic hilum presenting as gallbladder duplication on imaging has not been reported earlier in the literature and here we present a case report of the same which was managed successfully.

摘要

胆总管囊肿和胆囊重复畸形是罕见的先天性异常。它们通常是婴儿期或儿童期的手术问题,但也很少在成人中出现。尽管有高分辨率成像,II 型胆总管囊肿与胆囊重复畸形的鉴别诊断仍常常存在困境,这可能导致术中医源性损伤的高风险。由于其恶性潜能,胆总管囊肿的手术治疗是明确的治疗方法。起源于肝门的 II 型胆总管囊肿在影像学上表现为胆囊重复畸形,以前在文献中尚未报道,我们在此报告一例成功治疗的病例。

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