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胆囊切除术后的胆囊肠:一个罕见的并发症病例报告

Nur Syafawani¹, Ballan Kannan¹

¹Division of General Surgery, Graduate School of Medicine, KPJ Healthcare University, Selangor, Malaysia.

AME case reports

|November 10, 2025

概括

胆囊切除术后的胆囊肠 (CEF) 是一种罕见的并发症. 这一案例凸显了在肠道习惯改变和先前胆道手术的患者中考虑CEF的重要性,CT成像有助于诊断.

科学领域:

胃肠病学胃肠病学
胆道手术胆道手术
手术并发症手术并发症

背景情况:

胆囊肠道 (CEF) 是胆道疾病的一种罕见并发症,形成胆囊和胃肠道之间的异常连接.
诊断具有挑战性,特别是在胆囊切除术后,因为它的稀有性和微妙的呈现.
慢性胆病或炎症是典型的前体,导致胆囊壁侵蚀.

研究的目的:

报告一种罕见的胆囊切除术后胆囊肠道.
强调这种罕见疾病的诊断挑战和管理策略.

主要方法:

一名51岁的男性有胆囊切除病史,出现了腹结肠和改变了肠道排便习惯.
与对比度增强的CT显示了肺结核病和胆囊残留物和横横结肠之间的状通道.
探索性腹腔切除术证实了胆囊肠,随后是完成胆囊切除术和细分胆囊切除术.

主要成果:

组织病理学证实慢性炎症没有恶性病变.
患者经历了一个无事件的术后恢复.

结论:

胆囊切除术后的CEF应该被怀疑是患有肠道习惯变化和胆道手术史的患者,特别是肺炎患者.
高临床怀疑,高级成像 (CT) 和手术干预对于诊断和管理至关重要.
完整的状管切除对于症状的解决和准确的组织病理学评估至关重要.

关键词:

胆囊肠道裂 (CEF) 是一种案例报告案例报告胆囊结胆囊结胆囊结

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