一个亚洲患者的巨型胆结石与胆囊穿孔和肝
Saroj K Yadav1, Mohim Thakur1, Ajay Dhiman1
1Department of General Surgery, All India Institute of Medical Sciences, Bilaspur, Bilaspur, IND.
Cureus
|July 5, 2023
概括
一个罕见的巨型胆囊结石 (11.5厘米) 被肝脏复杂的病例被成功治疗. 这种巨大的胆结石导致壁孔和形成,需要手术干预.
科学领域:
- 胃肠道学和肝胆道外科
- 手术病例报告 手术病例报告
背景情况:
- 巨型胆结石,定义为大于3厘米的胆结石,并不常见.
- 胆囊 (GB) 石头可能导致诸如穿孔和形成等并发症,尽管很少见.
研究的目的:
- 报告一种罕见的巨型胆囊石 (11.5厘米) 与相关的肝的罕见病例.
- 描述这种罕见的临床表现的管理.
- 为极大胆结石及其并发症的文献做出贡献.
主要方法:
- 一名患有急性腹部症状的患者被诊断出患有巨型胆囊结石和肝.
- 手术管理涉及开放的亚总胆囊切除术和肝的排水.
- 进行了彻底的文献搜索,以评估这种病例的罕见性.
主要成果:
- 成功的手术管理11.5厘米巨型胆囊结石与二次肝.
- 患者的急性腹部症状在术后得到解决.
- 这种病例代表了亚洲次大陆中最大的巨型胆结石与穿孔和肝的病例之一.
结论:
- 巨大的胆囊结石会导致严重的并发症,包括穿孔和肝.
- 迅速的手术干预,包括液排水和胆囊切除术,对于管理这种罕见病例至关重要.
- 这一案例凸显了在患有急性腹部表现的患者中考虑罕见病理的重要性.
相关概念视频
01:17Gallbladder
642
The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
642
01:29Appendicitis-II: Diagnostic Studies and Management
100
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
100