Nakahama M, Kuramoto S, Maeda J, Yamakawa M, Jojima Y, Yamaguchi H, Kubota K, Yasuda H, Sasaki T, Oohara T
Third Department of Surgery, Faculty of Medicine, University of Tokyo, Japan.
J Gastroenterol. 1996 Jun;31(3):465-9. doi: 10.1007/BF02355042.
A case of unusually hypermobile floating gallbladder in a 79-year-old woman with histologically distinct double cancers of the gallbladder is described. The patient presented with an abdominal cystic mass, which was palpable with easy mobility from the right lower quadrant practically to the left upper quadrant. Exploratory laparotomy was performed and the cystic mass was found to be a floating gallbladder. The cystic duct was elongated and obstructed, and had a long mesentery. After the operation, latent double cancers of the gallbladder were discovered on histopathological examination. The obstruction of the cystic duct was due to chronic inflammation and had resulted in hydrops of the gallbladder. This was suspected to have played an important role in the carcinogenesis. We believe that this is the first report of a floating gallbladder associated with double gallbladder cancers.
本文描述了一例79岁女性的异常活动的漂浮胆囊病例，该患者患有组织学上不同的双原发性胆囊癌。患者表现为腹部囊性肿块，可轻易触及，从右下腹几乎可移动至左上腹。进行了剖腹探查术，发现囊性肿块为漂浮胆囊。胆囊管延长并阻塞，且有很长的系膜。术后，组织病理学检查发现潜在的双原发性胆囊癌。胆囊管阻塞是由于慢性炎症导致，进而引起胆囊积水。怀疑这在致癌过程中起了重要作用。我们认为这是首例与双原发性胆囊癌相关的漂浮胆囊报告。
