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胆囊缺如的术前诊断:一例报告

Preoperative Diagnosis of Gallbladder Agenesis: A Case Report.

作者信息

Rivera Alec, Williamson Dustin, Almonte German

机构信息

General Surgery, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.

General/Trauma Surgery, Highland Community Hospital, Picayune, USA.

出版信息

Cureus. 2022 Oct 27;14(10):e30753. doi: 10.7759/cureus.30753. eCollection 2022 Oct.

DOI:10.7759/cureus.30753
PMID:36320796
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9616560/
Abstract

Gallbladder agenesis (GA) is a rare congenital malformation with less than 500 reported cases. Often an incidental finding intraoperatively or in postmortem autopsies, the first reported case dates back to 1701. We discuss the case of a 21-year-old female presenting with classic biliary symptoms who, on imaging, failed to have a visualizable gallbladder. Initial ultrasound (US) reported a non-visualized gallbladder with gallbladder contraction as a possible explanation. More advanced imaging allowed for the preoperative diagnosis, thus preventing an unpleasant intraoperative surprise. As imaging techniques continue to advance, unnecessary operations can hopefully be avoided, albeit a difficult diagnosis to make.

摘要

胆囊缺如(GA)是一种罕见的先天性畸形,报告病例不足500例。通常是在术中或尸检时偶然发现,首例报告病例可追溯到1701年。我们讨论了一名21岁女性的病例,该患者表现出典型的胆道症状,影像学检查未发现可视化胆囊。最初的超声(US)报告胆囊未显示,胆囊收缩可能是一种解释。更先进的影像学检查实现了术前诊断,从而避免了术中令人不快的意外情况。随着成像技术的不断进步,有望避免不必要的手术,尽管这是一个难以做出的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/a2cab2759955/cureus-0014-00000030753-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/23a6baf1d6dc/cureus-0014-00000030753-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/3a02bd660ac5/cureus-0014-00000030753-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/748189c0d42e/cureus-0014-00000030753-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/c30f884000fc/cureus-0014-00000030753-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/7256438eb5bf/cureus-0014-00000030753-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/a2cab2759955/cureus-0014-00000030753-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/23a6baf1d6dc/cureus-0014-00000030753-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/3a02bd660ac5/cureus-0014-00000030753-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/748189c0d42e/cureus-0014-00000030753-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/c30f884000fc/cureus-0014-00000030753-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/7256438eb5bf/cureus-0014-00000030753-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/9616560/a2cab2759955/cureus-0014-00000030753-i06.jpg

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本文引用的文献

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Gallbladder Agenesis Mimicking Chronic Cholecystitis in a Young Woman.一名年轻女性中酷似慢性胆囊炎的胆囊缺如
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Int J Surg Case Rep. 2020;76:144-147. doi: 10.1016/j.ijscr.2020.09.140. Epub 2020 Sep 23.
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Agenesis of the Gallbladder: Role of Clinical Suspicion and Magnetic Resonance to Avoid Unnecessary Surgery.
从不典型胆囊结石表现准确诊断先天性胆囊缺如的重要性:一例报告
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胆囊缺如:临床怀疑及磁共振成像在避免不必要手术中的作用
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Agenesis of the Gallbladder in Monozygotic Twin Sisters.单卵双胞胎姐妹胆囊缺如
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