腹腔镜胆囊切除术中的异常发现:胆囊壁上的肝胆管瘤

Miguel Ángel Echeverry-Gutiérrez, Karla Paola Muñoz Mata, Jose Manuel Zavala-Perez, Saul Ernesto Reyes-Gonzalez, Marco Antonio Trejo-Gonzalez
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摘要

肝绒毛膜瘤或异位肝是一种罕见的发育异常,通常位于腹部、腹膜后和胸部。一名 34 岁的男性患者按计划接受了腹腔镜胆囊切除术,术中发现胆囊内有多发性结石,胆囊前外侧表面附着一块红褐色的光滑组织碎片。患者病情进展顺利,术后 24 小时后出院。目的是描述一例附着于胆囊前外侧壁的肝绒毛膜瘤的临床病例,以及其病因、临床表现和治疗方法。胆囊中的肝绒毛膜瘤是由于肝脏胚胎发育异常所致,由于其可能发生恶性变性,一旦发现应立即切除,腹腔镜胆囊切除术是一种适当的方法。
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Unusual finding during laparoscopic cholecystectomy: liver choristoma in the gallbladder wall
Hepatic choristomas or ectopic livers are rare developmental anomalies and are usually located in the abdomen, retroperitoneum and thorax. A 34-year-old male patient underwent a scheduled laparoscopic cholecystectomy, the findings during surgery were a gallbladder with multiple lithiasis inside, with a smooth fragment of reddish-brown tissue attached to the anterolateral surface of the gallbladder. The patient evolved satisfactorily and was discharged 24 hours after surgery. Objective was to describe a clinical case of hepatic choristoma adhered to the anterolateral wall of the gallbladder, as well as its etiology, clinical picture and therapeutic conduct. Hepatic choristoma in the gallbladder is due to an anomaly in the embryologic development of the liver, due to its potential for malignant degeneration, it should be resected as soon as it is detected, being laparoscopic cholecystectomy an adequate approach.
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