Arekat Rasha, Dibas Yazan
Radiology Department, Al Makassed Hospital, Jerusalem, Palestine.
Radiol Case Rep. 2025 Jul 24;20(10):5122-5125. doi: 10.1016/j.radcr.2025.06.111. eCollection 2025 Oct.
Gallbladder herniation is a rare clinical finding that can present with a wide spectrum of symptoms, ranging from asymptomatic incidental discoveries to acute abdominal emergencies. We present the case of a middle-aged individual with a background of 2 previous laparotomies, in whom gallbladder herniation was incidentally detected via computed tomography (CT) conducted for unrelated reasons. The patient was completely asymptomatic, with no evidence of inflammation, obstruction, or biliary disease. Given the lack of clinical complications, a conservative, non-operative management approach was chosen. This case highlights the importance of identifying gallbladder herniation in patients with a history of abdominal surgeries as well as the critical function of imaging in its identification. While the majority of instances recorded in the literature involve symptomatic patients requiring surgical intervention, our study contributes to the small number of asymptomatic cases managed conservatively, emphasizing the variability in clinical presentation and the importance of individualized care.
胆囊疝是一种罕见的临床发现，可表现出广泛的症状，从无症状的偶然发现到急性腹部急症。我们报告一例中年患者，该患者曾有两次开腹手术史，因无关原因进行计算机断层扫描（CT）时偶然发现胆囊疝。患者完全无症状，无炎症、梗阻或胆道疾病的证据。鉴于无临床并发症，选择了保守的非手术治疗方法。该病例强调了在有腹部手术史的患者中识别胆囊疝的重要性以及影像学在其识别中的关键作用。虽然文献中记录的大多数病例涉及需要手术干预的有症状患者，但我们的研究增加了保守治疗的无症状病例数量，强调了临床表现的变异性和个体化护理的重要性。
