多囊胆囊：一例病例报告并文献复习。
Multiseptate gallbladder: A case report and literature review.
机构信息
Department of Pediatric Gastroenterology, Hepatology and Nutrition, MacKay Children's Hospital, Taipei, Taiwan.
Interfaculty Initiative in Health Policy, Harvard University, Boston, MA, United States.
出版信息
Medicine (Baltimore). 2021 Dec 10;100(49):e27992. doi: 10.1097/MD.0000000000027992.
RATIONALE
Multiseptate gallbladder (MSG) is a rare congenital gallbladder anomaly. Between 1963 and June 2021, only 56 cases were reported. There is currently no treatment guideline for pediatric or adult cases of MSG.
PATIENT CONCERNS
A 14-year-old woman visited our out-patient clinic in September 2020 for epigastric pain that last for 6 months. Honeycomb appearance of the gallbladder was noted under ultrasonography.
DIAGNOSIS
The patient was diagnosed with MSG. The diagnosis was confirmed through computed tomography and magnetic resonance cholangiopancreatography.
INTERVENTIONS
Cholecystectomy was performed.
OUTCOMES
Epigastric pain showed limited improvement after the surgery. Since she was diagnosed with gastritis at the same time, a proton-pump inhibitor was prescribed. Epigastric pain was eventually resolved.
LESSONS
MSG cases can undergo cholecystectomy and show good recovery without complications. However, concomitant treatment may be required to resolve in the presence of other symptoms such as epigastric pain.
背景
多房性胆囊（MSG）是一种罕见的先天性胆囊畸形。1963 年至 2021 年 6 月期间，仅报道了 56 例病例。目前尚无针对儿童或成人 MSG 病例的治疗指南。
病例介绍
一名 14 岁女性于 2020 年 9 月因上腹疼痛就诊于我院门诊，疼痛持续了 6 个月。超声检查发现胆囊呈蜂窝状。
诊断
患者被诊断为多房性胆囊。通过计算机断层扫描和磁共振胰胆管成像确诊。
干预措施
行胆囊切除术。
治疗结果
术后上腹疼痛有所改善，但有限。由于她同时被诊断为胃炎，故开具质子泵抑制剂。最终上腹疼痛缓解。
结论
MSG 病例可行胆囊切除术，且恢复良好，无并发症。但如果存在上腹疼痛等其他症状，可能需要联合治疗。
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