Bazira L, Thery Y, Habibou A, Tijdani A, Boukary B A, Rakotomala R, Illo A
Department of Surgery, National Hospital of Niamey, Niger.
Hepatogastroenterology. 1998 Nov-Dec;45(24):2044-7.
We present the case of a 47 year-old man with a gallbladder papillomatosis. His medical history showed typical biliary symptoms with chronic colicky pain and two episodes of jaundice. Unusually, the patient himself discovered a right hypochondrial mass which appeared to be a hydropic gallbladder. Pre-operative diagnosis was done by ultrasonography and percutaneous cholecystography. A cholecystectomy was performed. Gross description and microscopic examination confirmed the diagnosis of benign diffuse papillomatosis involving the entire mucosal surface of the gallbladder. The clinical and anatomical aspects of this lesion are discussed.
我们报告一例47岁患有胆囊乳头状瘤病的男性病例。他的病史显示有典型的胆部症状,伴有慢性绞痛和两次黄疸发作。不同寻常的是,患者自己发现了一个右季肋部肿物,似乎是一个积水的胆囊。术前诊断通过超声检查和经皮胆囊造影完成。进行了胆囊切除术。大体描述和显微镜检查证实诊断为累及胆囊整个黏膜表面的良性弥漫性乳头状瘤病。讨论了该病变的临床和解剖学方面。