腹腔镜胆囊切除术后意外胆囊癌切口种植伴骨化一例
Chinese Journal of General Surgery（2020）
Abstract
患者男,59岁,既往10年前因“胆囊结石伴急性胆囊炎”行“腹腔镜胆囊切除术”,术后病理示:“胆囊颈部乳头状腺癌”,于术后10 d再次行“开腹胆囊癌根治术”.此次因“胆囊癌术后10年,发现上腹壁肿块ld”入院.查体:腹软,可见长约20 cm陈旧性手术瘢痕,剑突下近瘢痕处可扪及1个质硬包块,无压痛.上腹部增强MRI示:上腹部腹腔内前部靠近中线见类圆形异常信号,大小约33 mm×33 mm,T1WI及T2WI呈高信号及混杂信号,DWI呈明显高信号,增强后因病灶T1WI呈高信号,强化与否及强化不能精确判断(图1A).
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