肝内异位胆囊并萎缩性胆囊炎1例  

A case of intrahepatic ectopic gallbladder with atrophic cholecystitis

作　　者：华永永 张剑权[1] 李志[1] HUA Yongyong;ZHANG Jianquan;LI Zhi(Department of Hepatobiliary Surgery,Haikou People’s Hospital,Haikou 570208,China)

机构地区：[1]海口市人民医院肝胆外科,海口570208

出　　处：《中南大学学报（医学版）》2021年第9期1041-1044,共4页Journal of Central South University ：Medical Science

摘　　要：1例49岁男性患者因上腹部疼痛8 h于2018年6月入院。患者3个月前因上腹部疼痛于当地医院住院,诊断为胆囊结石并胆囊炎,予输液治疗后好转出院。8 h前吃高油脂早餐后出现上腹部持续性疼痛,伴右后背及肩部疼痛,无恶心、呕吐等。入院后经腹部CT、彩色多普勒超声等检查,考虑胆囊结石并萎缩性胆囊炎。在腹腔镜胆囊切除术中,于正常胆囊位置未见胆囊,中转开腹及术中彩色多普勒超声探查发现肝内异位萎缩性胆囊,在胆囊影上方切开肝组织,分离胆囊及完整切除胆囊。术中未造成胆管损伤,术后无胆漏等严重后果,术后患者恢复好。A 49-year-old male patient was admitted to our hospital in June 2018 due to upper abdominal pain for 8 h.The patient was hospitalized in a local hospital 3 months ago for upper abdominal pain and was diagnosed as cholecystolithiasis and cholecystitis.After infusion treatment,the symptoms were improved and the patient was discharged.The patient suffered from persistent pain in the upper abdomen after eating greasy breakfast 8 h ago,accompanied by a pain in the right back and shoulder without nausea,vomiting,and other symptoms.After admission,the patient was diagnosed as cholecystolithiasis and atrophic cholecystitis by abdominal CT,color Doppler ultrasonography,and other examinations.During laparoscopic cholecystectomy,no gallbladder was found in the normal gallbladder position.We found an ectopic atrophic gallbladder in the liver via conversion laparotomy and intraoperative color Doppler ultrasonography.Liver tissue was cut above the gallbladder shadow.The gallbladder was separated and completely removed.No bile duct injury occurred during surgery,and no serious consequences such as postoperative bile leaks occurred.The patient recovered well after surgery.

关 键 词：肝内异位胆囊 萎缩性胆囊炎 胆囊结石 腹腔镜胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]