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一例罕见的急性结石性胆囊炎伴胆囊积水病例。

A Rare Case of Acute Calculous Cholecystitis With Gallbladder Hydrops.

作者信息

Ganta Nagapratap, Alnabwani Dina, Shah Viraj, Imtiaz Ayesha, Bommu Veera Jayasree Latha, Cheriyath Pramil

机构信息

Internal Medicine, Hackensack Meridian Ocean Medical Center, Brick, USA.

Internal Medicine, Rajarshee Chhatrapati Shahu Maharaj Government Medical College, Kolhapur, IND.

出版信息

Cureus. 2022 Feb 15;14(2):e22230. doi: 10.7759/cureus.22230. eCollection 2022 Feb.

DOI:10.7759/cureus.22230
PMID:35340477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8930434/
Abstract

Gallbladder hydrops or mucocele is usually due to the obstruction of the gallbladder by a gallstone. It is usually characterized by an increase in gallbladder volume, which remains clinically silent and is often incidentally diagnosed during exploratory laparotomy or laparoscopy. We report a rare case of acute calculous cholecystitis with gallbladder hydrops (measuring 17 cm in maximum dimension) due to the obstruction of the cystic duct by a gallstone in a 67-year-old female. We highlight the importance of early magnetic resonance imaging (MRI) in patients with right upper quadrant (RUQ) pain to rule out gallbladder hydrops especially in those with a history of gallstones.

摘要

胆囊积水或黏液囊肿通常是由胆结石阻塞胆囊引起的。其通常的特征是胆囊体积增大,临床上无症状,常在剖腹探查术或腹腔镜检查时偶然被诊断出来。我们报告了一例罕见的急性结石性胆囊炎合并胆囊积水(最大直径达17厘米)的病例,该病例发生在一名67岁女性身上,是由胆结石阻塞胆囊管所致。我们强调了早期磁共振成像(MRI)对于右上腹(RUQ)疼痛患者排除胆囊积水的重要性,尤其是对于有胆结石病史的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff1/8930434/9d5a4c3f2c1d/cureus-0014-00000022230-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff1/8930434/6b9516f5e990/cureus-0014-00000022230-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff1/8930434/0d95500a1ea7/cureus-0014-00000022230-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff1/8930434/9d5a4c3f2c1d/cureus-0014-00000022230-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff1/8930434/6b9516f5e990/cureus-0014-00000022230-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff1/8930434/0d95500a1ea7/cureus-0014-00000022230-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff1/8930434/9d5a4c3f2c1d/cureus-0014-00000022230-i03.jpg

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[Diagnosis and treatment of acute cholecystitis].[急性胆囊炎的诊断与治疗]
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Gallbladder hydrops due to viral hepatitis a infection: a case report.甲型病毒性肝炎感染所致胆囊积水:一例报告
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