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位于横结肠下方的游离胆囊：一例异常位置的病例报告

A Detached Gallbladder Situated Below the Transverse Colon: A Case Report of an Unusual Position.

作者信息

Abulfaraj Moaz

机构信息

Division of General Surgery, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, SAU.

出版信息

Cureus. 2023 Dec 9;15(12):e50245. doi: 10.7759/cureus.50245. eCollection 2023 Dec.

DOI:10.7759/cureus.50245
PMID:38196422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10774072/
Abstract

This report presents an unforeseen event involving the detachment of the gallbladder without any traumatic cause, which was incidentally detected during a scheduled laparoscopic cholecystectomy procedure. The incidence of total congenital gallbladder detachment from the liver is quite uncommon. The primary difficulty encountered in patients afflicted with this particular medical issue pertains to the intraoperative identification and localization of the gallbladder. The significance of this case report lies in its presentation of a groundbreaking finding that has the potential to provide challenges for surgeons doing laparoscopic cholecystectomy, a commonly performed surgical procedure.

摘要

本报告呈现了一起意外事件，即胆囊在无任何创伤原因的情况下发生脱离，这是在预定的腹腔镜胆囊切除术过程中偶然发现的。先天性胆囊完全从肝脏脱离的发生率相当罕见。患有这一特殊医学问题的患者所面临的主要困难在于术中对胆囊的识别和定位。本病例报告的意义在于它呈现了一项开创性的发现，这可能会给进行腹腔镜胆囊切除术（一种常见的外科手术）的外科医生带来挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/c42d0de9d905/cureus-0015-00000050245-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/4eef953e06c1/cureus-0015-00000050245-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/85b580d0df0c/cureus-0015-00000050245-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/17c6450ce91b/cureus-0015-00000050245-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/9dccf9a51d74/cureus-0015-00000050245-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/3a7b1b9a50b9/cureus-0015-00000050245-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/c42d0de9d905/cureus-0015-00000050245-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/4eef953e06c1/cureus-0015-00000050245-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/85b580d0df0c/cureus-0015-00000050245-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/17c6450ce91b/cureus-0015-00000050245-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/9dccf9a51d74/cureus-0015-00000050245-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/3a7b1b9a50b9/cureus-0015-00000050245-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1692/10774072/c42d0de9d905/cureus-0015-00000050245-i06.jpg

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本文引用的文献

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Increasing gallstone disease prevalence and associations with gallbladder and biliary tract mortality in the US.美国胆结石疾病患病率上升及其与胆囊和胆道疾病死亡率的关联。
Hepatology. 2023 Jun 1;77(6):1882-1895. doi: 10.1097/HEP.0000000000000264. Epub 2023 Jan 13.
2
An Unusual Presentation of Acute Cholecystitis due to a Gallbladder Volvulus in a Young Female: A Case Report and Review of the Literature.一名年轻女性因胆囊扭转导致急性胆囊炎的罕见表现：病例报告及文献复习
Cureus. 2022 Jan 15;14(1):e21275. doi: 10.7759/cureus.21275. eCollection 2022 Jan.
3
Prevalence of Different Hepatobiliary Tree Variants on Magnetic Resonance Cholangiopancreatography in Patients Visiting a Tertiary Care Teaching Hospital in Karachi.
在卡拉奇一家三级护理教学医院就诊的患者中，磁共振胰胆管造影显示的不同肝胆管变异的患病率。
Cureus. 2020 Dec 27;12(12):e12329. doi: 10.7759/cureus.12329.
4
Torsion of the gallbladder: a rare but important differential to consider when treating acute cholecystitis non-operatively.胆囊扭转：在非手术治疗急性胆囊炎时，需要考虑的一种罕见但重要的鉴别诊断。
BMJ Case Rep. 2021 Jan 6;14(1):e237842. doi: 10.1136/bcr-2020-237842.
5
Clinical reappraisal of vasculobiliary anatomy relevant to laparoscopic cholecystectomy.与腹腔镜胆囊切除术相关的血管胆道解剖的临床重新评估。
J Minim Access Surg. 2017 Oct-Dec;13(4):273-279. doi: 10.4103/jmas.JMAS_268_16.
6
Gallbladder torsion with acute cholecystitis and gross necrosis.胆囊扭转伴急性胆囊炎及大片坏死。
BMJ Case Rep. 2014 May 26;2014:bcr2014204917. doi: 10.1136/bcr-2014-204917.
7
A laparoscopic cholecystectomy with a difference: the case of an incidentally detached gallbladder.一例与众不同的腹腔镜胆囊切除术：意外胆囊游离的病例
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.06.2008.0035. Epub 2009 Jul 7.
8
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
Ann Surg. 1898 Feb;27(2):199-202.