Mirali Houda, Kamaoui Imane, El Harroudi Tijani, Skiker Imane, Serji Badr
Department of Radiology, Mohammed VI University Hospital, Oujda, MAR.
Surgical Oncology, Mohammed VI University Hospital, Regional Oncology Center, Oujda, MAR.
Cureus. 2021 Mar 15;13(3):e13906. doi: 10.7759/cureus.13906.
We report here an extremely rare case of giant gallbladder and discuss diagnostic circumstances and different ethiopathogenic theories. A 53-year-old woman presented acute right hypochondrium pain. Ultrasonography showed a huge cystic mass with gallstones and a CT scan confirmed the diagnosis of giant gallbladder. Cholecystectomy was performed. Outcomes were uneventful and histopathological examination of the specimen confirmed the presence of chronic cholecystitis. Enlargement of the gallbladder is related to biliary retention. This enlargement is favored by the slow evolution of malignant pathologies. However, some benign situations have been reported in the literature, and giant gallbladder can occur in a benign situation even if its ethiopathogeny is not so clear.
我们在此报告一例极为罕见的巨大胆囊病例，并讨论其诊断情况及不同的病因病理学说。一名53岁女性出现急性右季肋部疼痛。超声检查显示一个伴有胆结石的巨大囊性肿物，CT扫描确诊为巨大胆囊。实施了胆囊切除术。术后恢复顺利，标本的组织病理学检查证实存在慢性胆囊炎。胆囊增大与胆汁潴留有关。恶性病变的缓慢进展有利于这种增大。然而，文献中也报道了一些良性情况，即使其病因病理尚不明确，巨大胆囊也可发生于良性情况。
