胆囊卷发:老年人急性腹部的罕见原因
Daiki Sato1, Guillaume Aeby1, Birgit M Helmchen2
1General Surgery, Hospital Männedorf, Männedorf, CHE.
Cureus
|December 22, 2025
概括
胆囊卷发症 (GV) 是一种罕见的疾病,导致胆囊扭曲,通常影响老年妇女,并且经常被误诊. 迅速的手术干预对于治疗这种可能危及生命的疾病至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 胆囊卷发 (GV) 是一种罕见的,可能危及生命的疾病,涉及胆囊扭曲.
- 它主要影响老年女性,并且经常被低诊断,呈现异常症状.
研究的目的:
- 报告一个老年女性患者的胆囊卷发病例.
- 突出GV的诊断挑战和管理.
主要方法:
- 一个84岁的女性患有急性腹痛的病例报告.
- 诊断工作包括体检,实验室检查和腹部CT.
- 治疗包括腹腔镜胆囊切除术,转换为开放式手术,在停止抗凝药后.
主要成果:
- 腹部CT显示出一个膨胀的胆囊,有厚厚的壁和轻微的.
- 组织病理学证实了转移性肌肉缺血,出血和性炎症.
- 患者经历了一个无事件的术后恢复.
结论:
- 在有非典型急性胆囊炎症状的老年患者中,应考虑胆囊卷发症.
- 早期的手术干预至关重要,以预防炎和穿孔等并发症.
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