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胆囊重复畸形合并胆总管囊肿：一种罕见的情况。

Gall Bladder Duplication with Choledochal Cyst: A Rare Entity.

作者信息

Sharma Rahul Deo, Sushma Achugatla, Singh Surendra, Tewari Shruti, Redkar Rajeev

机构信息

Department of Paediatric Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.

出版信息

J Indian Assoc Pediatr Surg. 2023 Jul-Aug;28(4):325-327. doi: 10.4103/jiaps.jiaps_20_23. Epub 2023 Jul 11.

DOI:10.4103/jiaps.jiaps_20_23
PMID:37635883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10455702/
Abstract

A 4-year-old male child presented with complaints of abdominal pain and vomiting along with yellowish discoloration of the eyes. Investigations were suggestive of acute pancreatitis and double gall bladder (GB) with dilated common bile duct (CBD) with intraluminal calculi and Type II choledochal cyst. He underwent surgical resection of double GB with dilated CBD with hepatico-docho-jejunostomy. On follow-up, the patient was asymptomatic. Our case highlights the importance of preoperative diagnosis to deal with increased operative difficulty and complications.

摘要

一名4岁男童出现腹痛、呕吐以及眼睛发黄的症状。检查提示为急性胰腺炎、双胆囊伴胆总管扩张并管腔内结石以及II型胆总管囊肿。他接受了双胆囊及扩张胆总管切除并肝管-胆总管-空肠吻合术。随访时，患者无症状。我们的病例强调了术前诊断对于应对手术难度增加和并发症的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698e/10455702/d0e15eb8d14e/JIAPS-28-325-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698e/10455702/869fd86894c0/JIAPS-28-325-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698e/10455702/ee154736a446/JIAPS-28-325-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698e/10455702/df59b803ab06/JIAPS-28-325-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698e/10455702/d0e15eb8d14e/JIAPS-28-325-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698e/10455702/869fd86894c0/JIAPS-28-325-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698e/10455702/ee154736a446/JIAPS-28-325-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698e/10455702/df59b803ab06/JIAPS-28-325-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698e/10455702/d0e15eb8d14e/JIAPS-28-325-g004.jpg

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引用本文的文献

1
Comment On "GallBladder Duplication with Choledochal Cyst: A Rare Entity".关于《胆囊重复合并胆总管囊肿：一种罕见病例》的评论
J Indian Assoc Pediatr Surg. 2023 Nov-Dec;28(6):549. doi: 10.4103/jiaps.jiaps_159_23. Epub 2023 Nov 2.

本文引用的文献

1
Laparoscopic Double Cholecystectomy in a Pediatric Patient for Gallbladder Duplication : An Unusual Case of Biliary Anatomy.小儿胆囊重复畸形行腹腔镜胆囊切除术：一种罕见的胆道解剖异常。
Am Surg. 2020 Nov;86(11):1531-1534. doi: 10.1177/0003134820933600. Epub 2020 Jul 1.
2
Choledochal cysts: presentation, clinical differentiation, and management.胆总管囊肿：临床表现、临床鉴别及治疗
J Am Coll Surg. 2014 Dec;219(6):1167-80. doi: 10.1016/j.jamcollsurg.2014.04.023. Epub 2014 Jun 27.
3
Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst.
先天性胆管囊肿：分类、手术方法及37例病例回顾，包括胆总管囊肿癌变
Am J Surg. 1977 Aug;134(2):263-9. doi: 10.1016/0002-9610(77)90359-2.
4
Multiple gallbladders.多个胆囊。
Surg Gynecol Obstet. 1977 Dec;145(6):928-34.