Extremely rare case of H-type gallbladder duplication coexistent with carcinoma: a case report and review of the literature

被引：4

作者：

Furuhashi, Takashi ^{[1
]}

Abe, Toshihiko ^{[1
]}

Sakata, Koichiro ^{[1
]}

Noda, Mayaka ^{[2
]}

Fuchikami, Tadafumi ^{[2
]}

Ishikawa, Nobuhisa ^{[2
]}

Fujito, Hiroyuki ^{[2
]}

Onari, Norihiro ^{[3
]}

Hamada, Tetsuo ^{[4
]}

机构：

[1] Moji Ekisaikai Hosp, Dept Surg, Japan Seafarers Relief Assoc, 1-3-1 Kiyotaki, Kitakyushu, Fukuoka 8018550, Japan

[2] Moji Ekisaikai Hosp, Japan Seafarers Relief Assoc, Dept Gastroenterol, 1-3-1 Kiyotaki, Kitakyushu, Fukuoka 8018550, Japan

[3] Moji Ekisaikai Hosp, Japan Seafarers Relief Assoc, Dept Radiol, 1-3-1 Kiyotaki, Kitakyushu, Fukuoka 8018550, Japan

[4] Kyushu Railway Mem Hosp, Dept Lab Med & Surg Pathol, 2-1-1 Takada, Kitakyushu, Fukuoka 8000031, Japan

来源：

SURGICAL CASE REPORTS | 2020年 / 6卷 / 01期

关键词：

Gallbladder duplication; Adenocarcinoma; Intraoperative cholangiography; Near-infrared ray vision system; FDG-PET; DIAGNOSIS;

D O I：

10.1186/s40792-020-00953-3

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

IntroductionMultiple gallbladders represent a rare congenital disorder, and coexistence with carcinoma is extremely rare, leading to a high possibility of misdiagnosis and surgical complications. In this study, a case was reported and the literature was reviewed.Case presentationAn 80-year-old woman was diagnosed with acute cholecystitis via ultrasonography and was successfully treated with antibiotics. After the patient's biliary colic relapsed, she was referred to our hospital. Multiple imaging modalities revealed duplication of her gallbladder (H-type) and suggested coexistence with carcinoma. According to preoperative evaluations, we assumed the patient had stage IIIA disease, and cholecystectomy, cholangiography using a near-infrared ray vision system, and sectionectomy of segments 4a and 5 were performed. Contrary to the high standardized uptake values obtained by F-18-fluoro-2-deoxy-D-glucose positron emission tomography, gallbladder carcinoma was pathologically diagnosed as stage 0 mucosal cancer. Seven days after the operation, portal thrombosis of the posterior branch was revealed, and conservative therapy was indicated; satisfactory results were achieved. The patient was discharged 65days after surgery. No recurrence was observed for 1 year after surgery.ConclusionsAn extremely rare case of malignancy in a duplicated gallbladder was reported, and the literature was reviewed. Accurate estimations are feasible for diagnoses of multiple gallbladders, where correct evaluations are vital, especially in malignant cases. Because of the possibility of malignancy, resected accessory gallbladders should be scrutinized pathologically.

引用

页数：8

共 15 条

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