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胆囊扭转:保守治疗胆囊炎时的必要考量因素

Gallbladder Volvulus: A Necessary Consideration When Managing Cholecystitis Conservatively.

作者信息

Mealy Anna, Fisher Mikhail

机构信息

General Surgery, Monash Health, Melbourne, AUS.

出版信息

Cureus. 2025 Jun 30;17(6):e87080. doi: 10.7759/cureus.87080. eCollection 2025 Jun.

Abstract

Gallbladder volvulus is a rare surgical pathology predominantly affecting an older patient profile, in which frailty and comorbidities play an important role in surgical decision-making. The difficulty in accurately diagnosing this condition lies in the vague, non-specific symptoms and the lack of a reliable radiological diagnosis. This case report describes the management of gallbladder volvulus in a 91-year-old female and highlights the fact that antibiotics alone will not manage this pathology. Therefore, this condition must be part of the differential diagnosis when considering conservative management of cholecystitis.

摘要

胆囊扭转是一种罕见的外科病理情况,主要影响老年患者群体,其中身体虚弱和合并症在手术决策中起着重要作用。准确诊断这种疾病的困难在于症状模糊、不具特异性,且缺乏可靠的影像学诊断方法。本病例报告描述了一名91岁女性胆囊扭转的治疗情况,并强调仅使用抗生素无法治疗这种病理状况。因此,在考虑胆囊炎的保守治疗时,必须将这种情况纳入鉴别诊断范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ab/12311319/0a5caffd8240/cureus-0017-00000087080-i01.jpg

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