症状性胆囊腺肌瘤:一种罕见的临床表现
Alaa Kansoun1, Pierre Bernard1
1Department of General Surgery, Macon Hospital, Macon, France.
International journal of surgery case reports
|May 4, 2024
概括
胆囊腺瘤 (GA) 是一种罕见的良性疾病,通常无症状. 这一案例突出显示了症状性GA呈腹痛的诊断成像征兆.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 胆囊腺瘤 (GA) 是一种罕见的良性胆囊疾病.
- 它通常影响中年人,并且通常无症状.
- 症状呈现,虽然不太常见,但可以包括腹痛.
研究的目的:
- 为了呈现出一种症状的胆囊腺瘤病例.
- 为了说明GA中各种成像模式的诊断实用性.
- 强调 GA 识别对于有效诊断的重要性.
主要方法:
- 一个49岁的女性病例报告,患有反复出现的腹痛.
- 诊断工作包括超声波,CT扫描和MRI.
- 通过腹腔镜胆囊切除术进行了手术管理.
主要成果:
- 图像检测显示了特征标志:"彗星尾"在超声波上,CT上"念珠标志",MRI上"珍珠项链"标志.
- 病理学证实GA与计算性胆囊炎.
- 症状呈现在没有胆结石的情况下归因于GA.
结论:
- 报告的胆囊腺瘤病变越来越多,但症状病例是例外的.
- 了解特定的成像发现对于及时诊断至关重要.
- 及时诊断症状性GA可以改善患者管理.
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