Hydropic Gallbladder  

Oleh:

Queiroz, Andre Brito ; de Miranda, Jocielle Santos

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 364 no. 20 (May 2011), page 364:e43.
Topik: Abdominal Pain
Fulltext: Hydropic Gallbladder.pdf (38.78KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2011.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A 31-year-old woman presented with a 10-year history of mild, episodic abdominal pain in the right upper quadrant and a palpable, slowly growing mass in the right side of the abdomen. She had no history of jaundice, fever, or weight loss. The results of laboratory investigations, including measurement of liver enzymes, were unremarkable. Findings on abdominal ultrasonography were abnormal, and subsequent magnetic resonance imaging of the abdomen revealed a markedly distended gallbladder (Panel A, axial image, arrow; Panel B, coronal reconstruction, arrow), measuring 17 cm by 8 cm, but no evidence of gallstones, extrinsic compression of the biliary tree, or biliary duct dilatation. A laparoscopic cholecystectomy was performed, and intraoperative aspiration of colorless mucus from the gallbladder led to a diagnosis of hydropic gallbladder. In adults, a hydropic gallbladder is usually a consequence of chronic obstruction (resulting from gallstones or tumors) or narrowing (resulting from a congenital or fibrotic condition or extrinsic compression) of the cystic duct. Cholecystectomy is the definitive treatment. This patient's symptoms resolved after surgery, and she remained asymptomatic at follow-up 1 year later.

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