一个罕见的胆囊卷发术病例伪装成急性胆囊炎
Brandon Velazquez1, Konstantina Kostara1, Jacob Seltzer1
1Surgery, CarePoint Health, Bayonne, USA.
Cureus
|October 15, 2025
概括
胆囊卷发 (GBV) 是一种罕见的手术紧急情况,胆囊扭曲,导致缺血. 及时诊断和腹腔镜手术对于患者的康复和预防严重并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 胆囊卷发症 (GBV) 是一种罕见的,危及生命的疾病,涉及胆囊扭曲.
- 它可以模仿急性胆囊炎,但由于死亡和穿孔的风险,需要紧急手术干预.
研究的目的:
- 突出诊断挑战和早期手术干预在胆囊卷发症的关键重要性.
- 介绍一例老年女性腹腔镜治疗GBV的成功案例.
主要方法:
- 一个84岁的女性患有急性腹痛的病例报告.
- 诊断工作,包括初始成像表明胆囊炎.
- 通过腹腔镜胆囊切除术进行手术,并扭曲和分裂胆囊脚.
主要成果:
- 腹腔镜检查结果证实了胆囊扭转与缺血,尽管最初的成像显示胆囊炎.
- 患者经历了成功的扭曲和胆囊切除术.
- 在术后第一天无事件的康复和出院.
结论:
- 胆囊卷发症带来了诊断挑战,经常模仿急性胆囊炎.
- 通过成像和临床怀疑支持的早期识别对于及时的手术管理至关重要.
- laparoscopic胆囊切除术是黄金标准,对于预防严重并发症,如死和穿孔至关重要.
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