同时的功能性胆囊疾病和左侧胆囊:一个病例报告
Jing-Rui Wu1, Chang-Cheng Wang2, Bo-Yang Li2
1Department of Surgery, The Affiliated Hospital of Shanxi University of Traditional Chinese Medicine, Taiyuan 030024, Shanxi Province, China.
World journal of gastrointestinal endoscopy
|July 18, 2025
概括
本报告详细介绍了患者左侧胆囊功能性胆囊疾病 (FGBD) 的第一个病例. 切除子宫外胆囊的手术消除了患者的症状,突出了诊断和手术方面的考虑.
科学领域:
- 胃肠道学和肝胆道外科
- 诊断成像和干预性放射学 诊断成像和干预性放射学
背景情况:
- 宫外胆囊是一种罕见的异常 (0.1%-0.7%),通常发生在没有 situs inversus totalis 的情况下.
- 功能性胆囊疾病 (FGBD) 呈现为胆道疼痛,图像正常,胆囊收缩受损.
- 同时的FGBD和左侧胆囊代表了一个独特的临床挑战,之前没有报告的病例.
研究的目的:
- 报告第一个同时存在的功能性胆囊疾病和左侧胆囊的病例.
- 为了突出与这种罕见的组合相关的诊断和手术挑战.
- 强调手术前成像对解剖学变异的重要性.
主要方法:
- 评估了一名73岁的妇女,她有20年的胃上疼痛史.
- 左侧胆囊和FGBD的诊断是基于成像和胆囊收缩测试.
- 对子宫外胆囊进行了腹腔镜胆囊切除术.
主要成果:
- 宫外胆囊被证实,附着在左肝叶.
- 术后病理学显示没有异常.
- 患者在3个月的随访后经历了完全的症状消失.
结论:
- 这是第一个报告的FGBD病例与左侧胆囊.
- 术前成像 (MRI/CT) 对于检测胆囊的解剖变异至关重要.
- 腹腔镜胆囊切除术是一种可行的治疗选择,需要仔细的手术规划.
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