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病例报告:儿童罕见的游离胆囊扭转

Case report: Rare floating gallbladder torsion in a child.

作者信息

Ren Haiyang, Liu Hao, Liu Xiurui, Wei Hua, Tian Ping

机构信息

Department of General Surgery, Linyi Maternity and Child Health Care Hospital, Linyi, Shandong, China.

Department of Gastroenterology, Linyi People's Hospital, Linyi, Shandong, China.

出版信息

Front Med (Lausanne). 2024 May 30;11:1407716. doi: 10.3389/fmed.2024.1407716. eCollection 2024.

DOI:10.3389/fmed.2024.1407716
PMID:38873202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11169684/
Abstract

Gallbladder Torsion (GT) refers to serious biliary emergencies caused by the torsion of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. It is very rare, especially in children. The clinical data of a child with floating gallbladder torsion who was treated in our hospital on March 14, 2024, were analyzed. A 6-year-old girl presented with abdominal pain and vomiting. Physical examination showed a mass in the right middle abdomen. Laboratory tests showed normal liver biochemical function and white blood cells. The benign lesion was considered by color Doppler ultrasound and CT, and the floating torsion of the gallbladder was diagnosed by MRCP and laparoscopic exploration. The child was treated with laparoscopic cholecystectomy (LC) and recovered well after the operation.

摘要

胆囊扭转(GT)是指胆囊沿胆囊管和胆囊动脉轴在其肠系膜上发生扭转而引起的严重胆道急症。它非常罕见,尤其是在儿童中。对我院于2024年3月14日收治的一名患有漂浮胆囊扭转的儿童的临床资料进行了分析。一名6岁女孩出现腹痛和呕吐。体格检查发现右中腹部有肿块。实验室检查显示肝脏生化功能和白细胞正常。彩色多普勒超声和CT考虑为良性病变,磁共振胰胆管造影(MRCP)和腹腔镜探查诊断为胆囊漂浮扭转。该患儿接受了腹腔镜胆囊切除术(LC),术后恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/11169684/6b2129b0a841/fmed-11-1407716-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/11169684/1977e53b1d69/fmed-11-1407716-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/11169684/9aa162d047d5/fmed-11-1407716-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/11169684/6b2129b0a841/fmed-11-1407716-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/11169684/1977e53b1d69/fmed-11-1407716-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/11169684/9aa162d047d5/fmed-11-1407716-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/11169684/6b2129b0a841/fmed-11-1407716-g003.jpg

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2
Gallbladder Volvulus in an Elderly Female With Severe Kyphoscoliosis.一名患有严重脊柱后凸侧弯的老年女性的胆囊扭转
Cureus. 2023 Mar 16;15(3):e36256. doi: 10.7759/cureus.36256. eCollection 2023 Mar.
3
Gallbladder volvulus with preoperative and intraoperative imaging.胆囊扭转的术前及术中影像学表现
J Surg Case Rep. 2023 Feb 17;2023(2):rjad048. doi: 10.1093/jscr/rjad048. eCollection 2023 Feb.
4
Gallbladder torsion: a rare cause of acute abdomen in a 12-month old child.胆囊扭转:12 个月大婴儿急性腹痛的罕见病因。
Acta Chir Belg. 2024 Feb;124(1):62-65. doi: 10.1080/00015458.2023.2168073. Epub 2023 Jan 16.
5
Gallbladder volvulus in two children: The importance of radiological features.
Pediatr Int. 2022 Jan;64(1):e15260. doi: 10.1111/ped.15260.
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