老年男性急性结石性胆囊炎误诊为回盲部肿瘤:超声检查结果回顾:1例报告

Sule Mb, Shamaki Amb, Umar Au, Gele Ih, Ribah Mm, Aliyu Az
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摘要

约20%有症状性疾病的患者可表现为急性结石性胆囊炎,其症状严重程度差别很大。在发达国家,成人最常受影响的比例约为10-15%。这是一位75岁的男性,由于在当地卫生保健机构进行腹部超声扫描后发现回肠盲区肿瘤,被转介到周边卫生中心接受确认性超声检查。患者腹部超声检查显示胆囊小窝内嵌结石,尺寸约30mm × 30mm,伴有胆囊膨胀;急性胆囊炎的壁厚且呈小梁状,壁内含异质内容物,呈环形低回声晕。患者在外围护理机构接受了经皮胆囊切除术,出院时表现相当好。我们报告急性结石性胆囊炎的超声表现,因为它的特点和表现。
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Acute Calculus Cholecystitis Misdiagnosed As Ileocecal Tumor in an Elderly Male: Review of the Ultrasonographic Findings: A Case Report
Gallstones present as acute calculus cholecystitis in about 20% of individuals with symptomatic disease, having a wide range of symptom severity. The adult population is most often affected in about 10-15% within the developed countries. This is a 75-year-old man that was referred for a confirmatory ultrasonography from a peripheral health centre on account of an entertained ileocecal tumor following an abdominal ultrasound scan done in a local health care facility. The patient had an abdominal ultrasonography that showed an impacted calculus in the infundibulum of the gallbladder measuring about 30mm x 30mm in dimension with associated distended gall bladder; this shows thick and trabeculated wall, heterogenous content with circumferential hypoechoic halo of acute cholecystitis. The patient had percutaneous cholecystectomy in the peripheral care facility and was reported to have done considerably well for discharge. We report the ultrasonographic findings of acute calculus cholecystitis due to its peculiarity and presentations.
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