腹腔镜胆囊切除术期间多个酷似肝转移瘤的胆管腺瘤——病例报告
Multiple bile duct adenomas mimicking hepatic metastases during laparoscopic cholecystectomy - A case report.
作者信息
Subasinghe Duminda, Mithushan Jesuthasan, Abeysinghe Anjana, Withanage Rachini, Ranaweera Gayani
机构信息
Department of Surgery, Faculty of Medicine, University of Colombo, Sri Lanka; University Surgical Unit, The National Hospital of Sri Lanka, Colombo, Sri Lanka.
Department of Surgery, Faculty of Medicine, University of Colombo, Sri Lanka.
出版信息
Int J Surg Case Rep. 2025 Mar;128:111082. doi: 10.1016/j.ijscr.2025.111082. Epub 2025 Feb 21.
INTRODUCTION AND IMPORTANCE
Bile duct adenoma (BDA) is a rare benign liver neoplasm, with relatively few cases reported in literature.
CASE PRESENTATION
A 55-year-old man diagnosed with symptomatic gallstone disease who underwent elective laparoscopic cholecystectomy. During the procedure, there were multiple liver nodules mimicking hepatic metastases. Histological examination and contrast-enhanced computed tomography (CECT) of the liver confirmed the diagnosis of BDA.
DISCUSSION
When incidental liver nodules are encountered intraoperatively, thorough evaluation is essential to confirm the diagnosis. Structured approach using histological examination and imaging (CECT of the liver/ MRI) confirmed the diagnosis of BDA.
CONCLUSIONS
BDA is a rare benign liver neoplasm that can be challenging to differentiate from hepatocellular carcinoma or liver metastases. Accurate identification of BDA can prevent overtreatment or mismanagement.
引言与重要性
胆管腺瘤（BDA）是一种罕见的肝脏良性肿瘤，文献报道的病例相对较少。
病例介绍
一名55岁男性被诊断为有症状的胆结石疾病，接受了择期腹腔镜胆囊切除术。手术过程中，发现多个类似肝转移瘤的肝脏结节。肝脏的组织学检查和对比增强计算机断层扫描（CECT）确诊为BDA。
讨论
术中偶然发现肝脏结节时，进行全面评估以确诊至关重要。采用组织学检查和影像学检查（肝脏CECT/MRI）的结构化方法确诊了BDA。
结论
BDA是一种罕见的肝脏良性肿瘤，难以与肝细胞癌或肝转移瘤相鉴别。准确识别BDA可避免过度治疗或管理不当。
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