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急性腹痛揭示胆囊扭转:一例罕见病例

Acute Abdominal Pain Revealing Gallbladder Torsion: A Rare Case.

作者信息

Soussan Haitam, Yassin Kradi, Guellil Abdelali, Jabi Rachid, Bouziane Mohammed

机构信息

Department of General Surgery, Faculty of Medicine and Pharmacy, Laboratory of Anatomy, Microsurgery and Surgery Experimental and Medical Simulation (LAMCESM), Mohammed First University, Oujda, MAR.

Department of General Surgery, Mohammed VI University Hospital, Oujda, MAR.

出版信息

Cureus. 2025 Jun 8;17(6):e85557. doi: 10.7759/cureus.85557. eCollection 2025 Jun.

Abstract

We present the case of a 91-year-old woman who was diagnosed with acute gallbladder torsion, complicated by gallbladder necrosis and the development of septicemia. The torsion involved the cystic duct and cystic artery. Gallbladder volvulus is a rare but potentially life-threatening condition that necessitates a high index of clinical suspicion to ensure timely surgical management. Although its exact etiology remains unclear, several theories have been proposed to explain its pathogenesis. Prompt diagnosis and surgical management of gallbladder volvulus is important to avoid the morbidity and mortality of gangrenous cholecystitis and biliary peritonitis in a frail old population of patients.

摘要

我们报告了一例91岁女性患者,其被诊断为急性胆囊扭转,并发胆囊坏死及败血症。扭转累及胆囊管和胆囊动脉。胆囊扭转是一种罕见但可能危及生命的疾病,需要高度的临床怀疑指数以确保及时进行手术治疗。尽管其确切病因尚不清楚,但已提出几种理论来解释其发病机制。对于体弱的老年患者群体,及时诊断和手术治疗胆囊扭转对于避免坏疽性胆囊炎和胆汁性腹膜炎的发病率和死亡率很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b5/12237212/7b56acd60c3f/cureus-0017-00000085557-i01.jpg

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