局灶性急性胆囊炎误诊为胆囊癌。

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI:10.1007/s40477-025-00995-z

G L D'Alessandro, G Ancona, C Dellafiore, A Raimondi, D Gangemi, G Arpa, G Poma, E Above

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引用次数: 0

摘要

胆囊壁增厚常与急性或慢性胆囊炎、腺肌瘤病和胆囊癌有关，或见于肝脏和全身性疾病（急性肝炎、肝硬化、败血症）。我们在此报告一例61岁男性胆囊壁局灶性增厚，所有影像学检查结果均不确定。切除胆囊的病理检查显示急性慢性胆囊炎。我们描述局灶性急性胆囊炎，没有典型的临床和影像学表现（墨菲氏征，发烧，胆结石，积液，胆囊周围积液），模拟胆囊癌。

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Focal acute cholecystitis misdiagnosed as gallbladder carcinoma.

Thickening of the gallbladder wall is often associated with acute or chronic cholecystitis, adenomyomatosis and gallbladder carcinoma or seen in the context of liver and systemic diseases (acute hepatitis, cirrhosis, sepsis). Here we present a case of a 61 y.o. man with focal thickening of the gallbladder wall, in whom all imaging techniques were inconclusive. Pathological examination of the resected gallbladder revealed acute-on-chronic cholecystitis. We describe focal acute cholecystitis in absence of the classic clinical and imaging findings (Murphy's sign, fever, gallstones, hydrops, pericholecystic fluid) and mimicking a gallbladder carcinoma.

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来源期刊

Journal of Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.10

自引率

15.00%

发文量

133

期刊介绍： The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.