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作 者:马双乐 李鸣 MA Shuangle;LI Ming(School of Medicine,Jianghan University,Wuhan 430056,China;Department of Emergency Surgery,Wuhan Fourth Hospital,Wuhan 430033,China)
机构地区:[1]江汉大学医学部,武汉430056 [2]武汉市第四医院急诊外科,武汉430033
出 处:《数理医药学杂志》2025年第4期303-307,共5页Journal of Mathematical Medicine
摘 要:本文分析了1例因间歇性剑突下疼痛10天,就诊于武汉市第四医院的患者的诊疗过程。患者入院后经彩色多普勒超声、上腹部计算机断层扫描(computed tomography,CT)等检查,考虑为异位胆囊多发结石伴慢性胆囊炎。术中探查证实胆囊位于肝右叶后方,仔细解剖后予以切除,过程中注意胆囊三角区域解剖结构,未造成胆管等损伤,术后无胆漏等并发症,患者恢复良好。The diagnose and treatment process of a patient,who was admitted to Wuhan Fourth Hospital with intermittent pain under the xiphoid process for 10 days was analyzed.After admission,the patient was considered to have ectopic gallbladder with multiple stones accompanied by chronic cholecystitis after color Doppler ultrasound and epigastric computed tomography(CT)scan.Intraoperative exploration confirmed that the gallbladder was posterior to the right hepatic lobe.Meticulous dissection was performed with careful attention to the anatomical structures of the Calot's triangle during cholecystectomy.The procedure was completed without biliary duct injury or other complications.There were no complications such as biliary leakage after surgery,and the patient recovered well.
关 键 词:异位胆囊 胆囊结石 慢性胆囊炎 腹腔镜胆囊切除术
分 类 号:R743.3[医药卫生—神经病学与精神病学]
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