Silvis R, van Wieringen A J, van der Werken C H
Department of Surgery, University Hospital Utrecht, The Netherlands.
Surg Endosc. 1996 Mar;10(3):336-7. doi: 10.1007/BF00187385.
A case of a complicated postoperative course after laparoscopic cholecystectomy in which, ultimately, gallbladder duplication was suspected and confirmed at laparotomy is described. The diagnostic tools, differential diagnosis, and therapy are discussed. After open cholecystectomy patients' complaints dissolved. Awareness of the possibility of a double gallbladder in case of persisting symptoms after laparoscopic cholecystectomy can lead to diagnosis of this condition at an earlier stage.
本文描述了一例腹腔镜胆囊切除术后出现复杂病程的病例,最终怀疑胆囊重复畸形并在剖腹手术中得到证实。文中讨论了诊断工具、鉴别诊断和治疗方法。开腹胆囊切除术后患者的症状消失。认识到腹腔镜胆囊切除术后持续出现症状时可能存在双胆囊的情况,有助于更早地诊断这种疾病。