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胆囊重复畸形作为手术意外情况:1例病例报告并文献复习

Duplication of the Gallbladder as an Operative Surprise: A Case Report with Review of the Literature.

作者信息

Singh Jai P

机构信息

Department of Surgery, Oswego Hospital, New York 13126, USA.

出版信息

Case Rep Surg. 2021 Feb 11;2021:6668302. doi: 10.1155/2021/6668302. eCollection 2021.

Abstract

INTRODUCTION

Duplication of the gallbladder is a rare congenital anomaly of the biliary system. Anomalous anatomy of the biliary system is associated with an increased risk of complications such as bile duct injury during cholecystectomy. Herein, I present a case report of duplication of the gallbladder, which was an operative surprise as the patient's preoperative workup did not reveal any evidence of duplication of the gallbladder. . A 60-year-old female was admitted for management of recurrent pancreatitis. Diagnosis of biliary pancreatitis was made as her CT and US revealed cholelithiasis. During laparoscopic cholecystectomy, she was found to have duplication of the gallbladder, which was a surgical surprise. Both the gallbladders were successfully removed, and the patient had an uneventful postoperative course.

CONCLUSION

Duplication of the gallbladder is a rare congenital anomaly, which could be associated with other congenital anomalies of the bile duct and vascular system. Extreme care should be taken during cholecystectomy as these anomalies could lead to serious injury to the bile duct and vessels.

摘要

引言

胆囊重复是一种罕见的胆道系统先天性异常。胆道系统的异常解剖结构与胆囊切除术期间胆管损伤等并发症风险增加相关。在此,我报告一例胆囊重复病例,该病例在手术中令人意外,因为患者术前检查未发现胆囊重复的任何证据。一名60岁女性因复发性胰腺炎入院治疗。其CT和超声检查显示有胆结石,诊断为胆源性胰腺炎。在腹腔镜胆囊切除术期间,发现她存在胆囊重复,这是一个手术意外。两个胆囊均成功切除,患者术后恢复顺利。

结论

胆囊重复是一种罕见的先天性异常,可能与胆管和血管系统的其他先天性异常相关。胆囊切除术期间应格外小心,因为这些异常可能导致胆管和血管严重损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fddd/7895607/42e5a5ba873d/CRIS2021-6668302.001.jpg

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