儿童胆囊扭转病例1例报道及文献复习
Journal of Dali University(2019)
Abstract
目的:收集胆囊扭转病例资料,总结相关临床、辅助检查结果,提高术前诊断准确性.方法:报道1例儿童胆囊扭转病例,回顾性分析其临床表现、辅助检查图像资料、手术过程,并复习相关文献.结果:胆囊扭转多发生于老年女性,儿童发病率极低,病程短,胆囊区疼痛明显,可伴有呕吐症状,无发热、黄疸.B超下胆囊可见"8"字改变,交叉部高回声.磁共振胰胆管造影(MRCP)可观察到胆囊影中断或胆囊管呈尖状.CT极少数可能看到胆囊螺旋形改变.结论:儿童中胆囊扭转罕见,症状易混淆,B超、MRCP具有重要术前诊断价值.
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