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绞窄性胆囊炎伴与胆囊扭转相似的影像学表现:一例报告。

Strangulated cholecystitis with imaging findings similar to those of gallbladder torsion: A case report.

作者信息

Okamura Kazuya, Ito Takuma, Ishibashi Emi, Kanasaki Yoshiko, Yuasa Koji, Iwasaki Junji, Onuma Hideyuki

机构信息

Department of Radiology, Shimane Prefectural Central Hospital, Izumo, Japan.

Department of Surgery, Shimane Prefectural Central Hospital, Izumo, Japan.

出版信息

Acta Radiol Open. 2025 Jul 29;14(7):20584601251363696. doi: 10.1177/20584601251363696. eCollection 2025 Jul.

Abstract

Cholecystitis is a common disease, but the occurrence of gallbladder strangulation is extremely rare. Here, we report a case of an 88-year-old woman with strangulated cholecystitis caused by an intraperitoneal band. Computed tomography (CT) scan revealed a constriction of the gallbladder body and marked wall thickening at the fundus. Additionally, the finding suggested torsion at the constricted area, which we diagnosed as gallbladder torsion. Cholecystectomy was performed immediately, and the diagnosis was strangulated cholecystitis caused by a band. The imaging findings of strangulated cholecystitis are similar to gallbladder torsion, making it difficult to diagnose preoperatively. We will discuss the imaging findings of strangulated cholecystitis and gallbladder torsion.

摘要

胆囊炎是一种常见疾病,但胆囊绞窄的发生极为罕见。在此,我们报告一例88岁女性因腹腔内束带导致绞窄性胆囊炎的病例。计算机断层扫描(CT)显示胆囊体部狭窄,底部胆囊壁明显增厚。此外,该发现提示狭窄部位存在扭转,我们将其诊断为胆囊扭转。立即进行了胆囊切除术,诊断为束带引起的绞窄性胆囊炎。绞窄性胆囊炎的影像学表现与胆囊扭转相似,术前难以诊断。我们将讨论绞窄性胆囊炎和胆囊扭转的影像学表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e301/12314225/5f00077519ea/10.1177_20584601251363696-fig1.jpg

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