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胆囊扭转和节段性肝右叶发育不全或萎缩:术前诊断困境-赛义德·穆罕默德·阿里哈马德医疗公司

文摘

胆囊扭转(GBV)由于胆囊(GB)的旋转自己的肠系膜,是罕见的紧急手术,经常确认处理。通常,胆囊炎是最初的临床诊断但高度怀疑的心理指标在成像可以提醒医生GBV需要紧急手术治疗的可能性。我们描述一例年轻女性发育不全或萎缩患者的肝脏右后节叶和一个没有肝的GB附件只有肠系膜椎弓根;的解剖变异组合没有被分类。她面对突然发生严重的右肋下疼痛的第一集。超声波图和磁共振cholangiopancreatogram发现GBV的暗示。她接受腹腔镜探查证实GBV形成血栓的自由浮动GB胆囊动脉。GB detorted,胆囊切除术。她有一个平凡的术后出院,没有并发症。病理检查显示校内血肿的GB壁坏死。 Gallbladder volvulus (GBV) because of pivot of the nerve bladder (GB) around its own mesentery is an uncommon careful crisis. This condition is regularly recognized intraoperatively, and under 10% are analyzed preoperatively. High clinical doubt is the main instrument which can assist a clinician with placing this uncommon conclusion in his rundown of differentials. Despite the fact that there are four sorts of anatomical irregularities portrayed as of not long ago, the patient revealed in this article has both sort 1 and type 2 anomalies which have never been accounted for in the writing and can be considered as a subtype of both of the two kinds or another sort (type 5) by and large. The segmental right projection hypoplasia/decay is unexplained as there is no set of experiences of youth injury or liver sicknesses. In-utero affront to the liver is precluded as there is away from of the entryway frameworks.

赛义德·穆罕默德·阿里

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