多分隔胆囊：胆道测压与闪烁扫描术

Multiseptate gallbladder: biliary manometry and scintigraphy.

作者信息

Saimura M, Ichimiya H, Naritomi G, Ogawa Y, Chijiiwa K, Yamaguchi K, Tanaka M

机构信息

First Department of Surgery, Kyushu University Faculty of Medicine, Fukuoka, Japan.

出版信息

J Gastroenterol. 1996 Feb;31(1):133-6. doi: 10.1007/BF01211201.

DOI:10.1007/BF01211201

PMID:8808443

Abstract

A 30-year-old man with multiseptate gallbladder, a very rare congenital anomaly, is presented. His presenting symptom was epigastric pain. A hypoplastic gallbladder with multiple septa was demonstrated by ultrasonography and endoscopic retrograde cholangiography. An injection of cerulein reproduced pain, and simultaneous biliary manometry and scintigraphy showed impairment of gallbladder filling and emptying. Laparoscopic cholecystectomy resulted in complete relief of the pain. Biliary manometry and scintigraphy are useful to determine the operative indication in a symptomatic patient with this entity.

摘要

本文报告了一名30岁男性，患有多分隔胆囊，这是一种非常罕见的先天性异常。他的主要症状是上腹部疼痛。超声检查和内镜逆行胆管造影显示胆囊发育不全且有多个分隔。注射促胰液素可再现疼痛，同时进行的胆道测压和闪烁扫描显示胆囊充盈和排空受损。腹腔镜胆囊切除术使疼痛完全缓解。胆道测压和闪烁扫描有助于确定有症状的此类患者的手术指征。