先天性胆囊缺如1例报告

Congenital Absence of Gallbladder: a Case Report

本文报道2014年5月我科对1例间断性右上腹痛1年,加重10 d的女性患者经彩超提示胆囊区未探及胆囊的患者,CT、MRI、MRCP检查后怀疑先天性胆囊缺如,为进一步明确腹痛原因行腹腔镜下探查。术中胆囊区及异位胆囊区域未见胆囊,肝脏膈面与腹壁多发粘连,结肠粘连于肝脏下缘,其他脏器未见异常。手术时间30 min,术中出血量3 ml。门诊随访6个月,无腹痛再发。我们认为经彩超、CT、MRI、MRCP等影像学检查怀疑先天胆囊缺如,可行腹腔镜下探查,尽量避免开腹胆囊探查。

[Summary] In May 2014, ultrasound examination did not detect gallbladder in the gallbladder area in 1 patient in our hospital.After CT, MRI, and MRCP examinations , the patient was suspected of being congenital absence of gallbladder .For further disgnosis, laparoscopic exploration was performed .Intraoperatively, there was no gallbladder found in the gallbladder area or ectopic gallbladder region .The operation time was 30 minutes and the blood loss was about 3 ml.The patient was followed up for 6 months, without any discomforts .We believe that suspected congenital absence of gallbladder diagnosed with ultrasound , CT, MRI, and MRCP imaging examinations should be given laparoscopic diagnosis to avoid open surgical exploration .