Cueto García J, Weber A, Serrano Berry F, Tanur Tatz B
Department of Surgery and Medicine, American British Cowdray Hospital of México City, México.
J Laparoendosc Surg. 1993 Apr;3(2):153-5. doi: 10.1089/lps.1993.3.153.
A rare case of true duplication of the gallbladder is herein reported on a young male patient with other congenital abnormalities. Both gallbladders had unequivocal signs of chronic inflammatory disease and lithiasis. The patient was diagnosed preoperatively as having acute cholecystitis but the diagnosis of an accessory gallbladder was made only at the time of surgery. Emphasis is placed on the use of a complete cholangiographic evaluation before proceeding with the operation in order to prevent inadvertent damage to the biliary ductal system. The accessory gallbladder must then be removed to avoid an unnecessary reoperation. All of this can be accomplished readily by laparoscopic surgery.
本文报告了一例罕见的真性胆囊重复病例,患者为一名患有其他先天性异常的年轻男性。两个胆囊均有明确的慢性炎症和结石迹象。患者术前被诊断为急性胆囊炎,但直到手术时才诊断出存在副胆囊。强调在进行手术前应进行全面的胆管造影评估,以防止意外损伤胆管系统。然后必须切除副胆囊,以避免不必要的再次手术。所有这些通过腹腔镜手术都可以轻松完成。