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儿童胆囊扭转所致胆囊炎

Cholecystitis due to gallbladder volvulus in a child.

作者信息

Prien Christopher, Ostrovetsky Olga, Wetzler Graciela, Glithero Kyle, Hechtman Daniel, Model Lynn

机构信息

Department of Surgery Maimonides Medical Center Brooklyn New York USA.

Department of Pediatrics, Division of Pediatric Gastroenterology and Nutrition Maimonides Medical Center Brooklyn New York USA.

出版信息

JPGN Rep. 2024 Aug 30;5(4):528-532. doi: 10.1002/jpr3.12120. eCollection 2024 Nov.

Abstract

Gallbladder volvulus (GV) involves the rotation of the gallbladder along its axis, resulting in torsion. This pathology is rare, more commonly found in elderly females, but can occasionally occur in pediatric patients. Diagnosis is challenging due to often atypical symptoms, with imaging and laboratory findings typically nonspecific. Prompt surgical intervention is necessary when GV is suspected to prevent significant systemic illness. Laparoscopic cholecystectomy has proven to be safe and effective in pediatric cases. In this report, we present a pediatric case of GV, initially misdiagnosed as viral-induced acalculous cholecystitis, which was effectively managed using laparoscopic cholecystectomy.

摘要

胆囊扭转(GV)是指胆囊沿其轴旋转,导致扭转。这种病理情况较为罕见,更常见于老年女性,但偶尔也会发生在儿科患者中。由于症状通常不典型,诊断具有挑战性,影像学和实验室检查结果通常也不具有特异性。当怀疑有胆囊扭转时,需要及时进行手术干预,以防止出现严重的全身疾病。在儿科病例中,腹腔镜胆囊切除术已被证明是安全有效的。在本报告中,我们介绍了一例儿科胆囊扭转病例,最初被误诊为病毒感染引起的无结石性胆囊炎,最终通过腹腔镜胆囊切除术得到有效治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40b1/11600372/5bcff9e8f404/JPR3-5-528-g002.jpg

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