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胆囊扭转的术前及术中影像学表现

Gallbladder volvulus with preoperative and intraoperative imaging.

作者信息

Beatty Andrew Stafford, Kulendran Krish, Iswariah Harish, Chandrasegaram Manju D

机构信息

Department of General Surgery, The Prince Charles Hospital, Brisbane, Queensland, Australia.

Northside Clinical School, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.

出版信息

J Surg Case Rep. 2023 Feb 17;2023(2):rjad048. doi: 10.1093/jscr/rjad048. eCollection 2023 Feb.

DOI:10.1093/jscr/rjad048
PMID:36811069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9939045/
Abstract

Volvulus of the gallbladder is one of the rarest conditions to affect the gallbladder, however, it should remain an important differential. Typically, it is diagnosed in elderly women, but it has also been reported in children and men. The lack of unique distinguishing features make diagnosis difficult to distinguish between other gallbladder pathology such as acute cholecystitis; however, delayed recognition or non-operative management is associated with higher mortality. We present the case of a 92-year-old woman who presented with this pathology, had diagnosis established preoperatively and was successfully treated with a cholecystectomy.

摘要

胆囊扭转是影响胆囊的最罕见病症之一,然而,它仍应作为一个重要的鉴别诊断。通常,它在老年女性中被诊断出来,但也有在儿童和男性中报道的情况。由于缺乏独特的鉴别特征,使得诊断难以与其他胆囊病变如急性胆囊炎区分开来;然而,延迟识别或非手术治疗与更高的死亡率相关。我们报告一例92岁女性患有这种病症的病例,术前确诊并成功接受了胆囊切除术。

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Gallbladder volvulus with preoperative and intraoperative imaging.胆囊扭转的术前及术中影像学表现
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Case report: Rare floating gallbladder torsion in a child.病例报告:儿童罕见的游离胆囊扭转
Front Med (Lausanne). 2024 May 30;11:1407716. doi: 10.3389/fmed.2024.1407716. eCollection 2024.

本文引用的文献

1
Gallbladder Volvulus: A Review.胆囊扭转:综述
Cureus. 2022 Mar 21;14(3):e23362. doi: 10.7759/cureus.23362. eCollection 2022 Mar.
2
Gallbladder volvulus.胆囊扭转
Hepatobiliary Surg Nutr. 2021 Apr;10(2):249-253. doi: 10.21037/hbsn-20-771.
3
The diagnostic dilemma of a gallbladder volvulus: An unusual case report and review of the literature.胆囊扭转的诊断困境:一例罕见病例报告及文献综述
Int J Surg Case Rep. 2021 Mar;80:105614. doi: 10.1016/j.ijscr.2021.01.108. Epub 2021 Feb 3.
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Torsion of the Gallbladder.
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A Clinician's Guide to the Diagnosis and Management of Gallbladder Volvulus.胆囊扭转诊断与管理的临床指南
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Torsion of the gallbladder: a systematic review.胆囊扭转:系统评价。
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Acute gallbladder torsion: an unexpected intraoperative finding.急性胆囊扭转:术中意外发现。
World J Emerg Surg. 2008 Feb 22;3:9. doi: 10.1186/1749-7922-3-9.
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VI. A Case of Floating Gall-Bladder and Kidney complicated by Cholelithiasis, with Perforation of the Gall-Bladder.六、一例漂浮胆囊及肾脏合并胆结石并胆囊穿孔的病例
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Preoperative diagnosis of gallbladder torsion by magnetic resonance cholangiopancreatography.磁共振胰胆管造影术对胆囊扭转的术前诊断
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Gallbladder torsion: case report and review of 245 cases reported in the Japanese literature.胆囊扭转:病例报告及对日本文献报道的245例病例的回顾
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