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一例以非典型腹部和泌尿系统症状表现的结石性胆囊积水罕见病例。

A Rare Case of Calculous Gallbladder Hydrops Presenting With Atypical Abdominal and Urinary Symptoms.

作者信息

Le Zhuang Hui Mark, Dowling Lachlan, Ranasinghe Sarangi M

机构信息

Department of General Surgery, Redland Hospital, Brisbane, AUS.

Department of General Surgery, Logan Hospital, Brisbane, AUS.

出版信息

Cureus. 2023 Jun 5;15(6):e40016. doi: 10.7759/cureus.40016. eCollection 2023 Jun.

DOI:10.7759/cureus.40016
PMID:37425591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10323152/
Abstract

Gallbladder hydrops, otherwise known as gallbladder mucocele, is an uncommon gallbladder condition characterised by gallbladder distention and accumulation of clear mucous-like inspissated bile. Patients with gallbladder hydrops are usually asymptomatic and incidentally diagnosed on cross-sectional imaging or diagnostic laparoscopy. This case report presents a rare case of calculous gallbladder hydrops measuring 217mm in maximal length in a 56-year-old female presenting with atypical abdominal and urinary symptoms. The radiological and intraoperative images will also be presented to highlight the extensiveness of the disease and therefore the importance of considering gallbladder hydrops as a differential in these patients.

摘要

胆囊积水,又称胆囊黏液囊肿,是一种罕见的胆囊疾病,其特征为胆囊扩张以及清亮黏液样浓缩胆汁的积聚。胆囊积水患者通常无症状,多在横断面成像检查或诊断性腹腔镜检查时偶然被发现。本病例报告呈现了一例罕见的结石性胆囊积水病例,患者为一名56岁女性,最大长度达217mm,伴有非典型腹部和泌尿系统症状。文中还将展示放射学和术中图像,以突出该疾病的广泛性,进而强调在这些患者中将胆囊积水作为鉴别诊断的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58b/10323152/94863bc192fd/cureus-0015-00000040016-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58b/10323152/1f8be557d005/cureus-0015-00000040016-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58b/10323152/94863bc192fd/cureus-0015-00000040016-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58b/10323152/1f8be557d005/cureus-0015-00000040016-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58b/10323152/94863bc192fd/cureus-0015-00000040016-i02.jpg

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本文引用的文献

1
A Rare Case of Acute Calculous Cholecystitis With Gallbladder Hydrops.一例罕见的急性结石性胆囊炎伴胆囊积水病例。
Cureus. 2022 Feb 15;14(2):e22230. doi: 10.7759/cureus.22230. eCollection 2022 Feb.
2
Gallbladder Hydrops.胆囊积水
Cureus. 2021 Sep 21;13(9):e18159. doi: 10.7759/cureus.18159. eCollection 2021 Sep.
3
The value of intraoperative percutaneous aspiration of the mucocele of the gallbladder for safe laparoscopic management.术中经皮穿刺抽吸胆囊黏液囊肿对安全腹腔镜手术治疗的价值。
Updates Surg. 2018 Dec;70(4):495-502. doi: 10.1007/s13304-018-0565-x. Epub 2018 Jul 13.
4
Mucocele mimicking a gallbladder in a transplanted liver: A case report and review of the literature.移植肝中酷似胆囊的黏液囊肿:一例报告并文献复习
World J Transplant. 2017 Dec 24;7(6):359-363. doi: 10.5500/wjt.v7.i6.359.
5
Magnetic resonance cholangiopancreatography uncovering massive gallbladder mucocele in a patient with ambiguous clinical and laboratory findings: A case report.
Int J Surg Case Rep. 2017;36:133-135. doi: 10.1016/j.ijscr.2017.04.031. Epub 2017 May 19.
6
The Mucocele of the Gallbladder.胆囊黏液囊肿
J Gastrointest Surg. 2017 Aug;21(8):1366-1367. doi: 10.1007/s11605-017-3399-9. Epub 2017 Mar 20.