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胆囊缺如与胆管癌的一例独特病例。

A Unique Case of Gallbladder Agenesis and Cholangiocarcinoma.

作者信息

Tagliaferri Ariana R, Ansari Nida, Cavanagh Yana

机构信息

Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA.

Gastroenterology, St. Joseph's Regional Medical Center, Paterson, USA.

出版信息

Cureus. 2023 Feb 20;15(2):e35224. doi: 10.7759/cureus.35224. eCollection 2023 Feb.

DOI:10.7759/cureus.35224
PMID:36968855
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10032556/
Abstract

Gallbladder agenesis is a rare congenital anomaly of the biliary tract, due to failure of the gallbladder and cystic duct budding off of the common bile duct during fetal development. Cholangiocarcinoma (CCA) is a malignant tumor arising from the biliary ducts in patients with underlying chronic biliary tract inflammation, primary sclerosing cholangitis, or other diseases. Although few studies have reported cases of cholelithiasis in patients with congenital gallbladder agenesis, there is only one other known case of concomitant cholangiocarcinoma and congenital gallbladder agenesis. Herein we present a case of recurrent gallstones in a male, diagnosed with gallbladder agenesis intraoperatively and with pathology consistent with cholangiocarcinoma.

摘要

胆囊缺如是一种罕见的先天性胆道异常,是由于在胎儿发育过程中胆囊和胆囊管未能从胆总管上芽生所致。胆管癌(CCA)是一种源于胆管的恶性肿瘤,发生于患有潜在慢性胆道炎症、原发性硬化性胆管炎或其他疾病的患者。尽管很少有研究报道先天性胆囊缺如患者发生胆石症的病例,但已知仅有另一例胆管癌与先天性胆囊缺如并存的病例。在此,我们报告一例男性复发性胆结石病例,术中诊断为胆囊缺如,病理结果符合胆管癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/ca7002db02f7/cureus-0015-00000035224-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/86cf77432195/cureus-0015-00000035224-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/310046b748c2/cureus-0015-00000035224-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/d24cb2eee998/cureus-0015-00000035224-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/77160ae2ead4/cureus-0015-00000035224-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/502787a5617b/cureus-0015-00000035224-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/7f756c939c2f/cureus-0015-00000035224-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/ca7002db02f7/cureus-0015-00000035224-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/86cf77432195/cureus-0015-00000035224-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/310046b748c2/cureus-0015-00000035224-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/d24cb2eee998/cureus-0015-00000035224-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/77160ae2ead4/cureus-0015-00000035224-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/502787a5617b/cureus-0015-00000035224-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/7f756c939c2f/cureus-0015-00000035224-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2a/10032556/ca7002db02f7/cureus-0015-00000035224-i07.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
Cureus. 2021 Sep 23;13(9):e18222. doi: 10.7759/cureus.18222. eCollection 2021 Sep.
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Acute Cholecystitis-like Presentation in an Adult Patient with Gallbladder Agenesis: Case Report and Literature Review.胆囊缺如成年患者的急性胆囊炎样表现:病例报告及文献综述
Case Rep Surg. 2020 Dec 16;2020:8883239. doi: 10.1155/2020/8883239. eCollection 2020.
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Agenesis of gall bladder: Diagnosed before it is an unpleasant laparoscopic surprise-clinical case report and review.
胆囊缺如:在成为令人不快的腹腔镜意外发现之前做出诊断——临床病例报告及文献综述
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 gall bladder in laparoscopic cholecystectomy-A case report.腹腔镜胆囊切除术中胆囊缺如——一例报告
Int J Surg Case Rep. 2017;39:39-42. doi: 10.1016/j.ijscr.2017.06.054. Epub 2017 Aug 3.
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Molecular mechanism of cholangiocarcinoma carcinogenesis.胆管癌发生的分子机制。
J Hepatobiliary Pancreat Sci. 2014 Oct;21(10):754-60. doi: 10.1002/jhbp.126. Epub 2014 Jun 3.
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Coexistence of gallbladder agenesis and cholangiocarcinoma: report of a case.胆囊缺如与胆管癌并存:一例报告
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