Chung C C, Leung K L, Lau W Y, Li A K
Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
Can J Surg. 1997 Dec;40(6):464-6.
A case of the rare congenital anomaly ectopic gallbladder is presented. A 16-year-old girl suffered attacks of epigastric pain unrelated to eating. On abdominal ultrasonography, the gallbladder could not be found in its usual position. Endoscopic retrograde cholangiography demonstrated the gallbladder on the left side of the common duct and the cystic duct arising from the right hepatic duct. Laparoscopic cholecystectomy was done without complication. This appears to be the first reported case of laparoscopic removal of an ectopic gallbladder. The importance of preoperative cholangiography is emphasized for accurate diagnosis and preoperative location of the gallbladder.
本文报告一例罕见的先天性异常——异位胆囊病例。一名16岁女孩反复出现与进食无关的上腹部疼痛。腹部超声检查未在胆囊正常位置发现胆囊。内镜逆行胆管造影显示胆囊位于胆总管左侧,胆囊管起自右肝管。行腹腔镜胆囊切除术,无并发症发生。这似乎是首例腹腔镜切除异位胆囊的报道病例。强调术前胆管造影对于准确诊断和术前确定胆囊位置的重要性。