Department of Hepatobiliary Surgery, Haikou People's Hospital, Haikou 570208, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021;46(9):1041-1044. doi: 10.11817/j.issn.1672-7347.2021.190355.
A 49-year-old male patient was admitted to our hospital in June 2018 due to upper abdominal pain for 8 h. The patient was hospitalized in a local hospital 3 months ago for upper abdominal pain and was diagnosed as cholecystolithiasis and cholecystitis. After infusion treatment, the symptoms were improved and the patient was discharged. The patient suffered from persistent pain in the upper abdomen after eating greasy breakfast 8 h ago, accompanied by a pain in the right back and shoulder without nausea, vomiting, and other symptoms. After admission, the patient was diagnosed as cholecystolithiasis and atrophic cholecystitis by abdominal CT, color Doppler ultrasonography, and other examinations. During laparoscopic cholecystectomy, no gallbladder was found in the normal gallbladder position. We found an ectopic atrophic gallbladder in the liver via conversion laparotomy and intraoperative color Doppler ultrasonography. Liver tissue was cut above the gallbladder shadow. The gallbladder was separated and completely removed. No bile duct injury occurred during surgery, and no serious consequences such as postoperative bile leaks occurred. The patient recovered well after surgery.
一位 49 岁男性患者于 2018 年 6 月因上腹疼痛 8 小时入院。患者 3 个月前因上腹疼痛在当地医院住院，诊断为胆囊结石、胆囊炎。经输液治疗后症状改善出院。8 小时前，患者进食油腻早餐后出现持续性上腹痛，伴右后肩痛，无恶心、呕吐等症状。入院后，腹部 CT、彩色多普勒超声等检查诊断为胆囊结石、萎缩性胆囊炎。行腹腔镜胆囊切除术时，正常胆囊位置未见胆囊。我们通过中转开腹和术中彩色多普勒超声发现了一个异位萎缩性胆囊。在胆囊阴影上方的肝组织被切开。将胆囊分离并完全切除。手术过程中未发生胆管损伤，术后无胆漏等严重并发症。患者术后恢复良好。
