临床误诊误治2017，Vol.30Issue(12)：13-14,2.DOI:10.3969/j.issn.1002-3429.2017.12.006
腹腔内结石误诊为胆总管结石一例
Abdominal Intracavitary Calculi Misdiagnosed as Common Bile Duct Calculi:a Case Report
陈浩鑫 1郑楚发 1黄盛鑫 1彭云恒1
作者信息
- 1. 515000 广东 汕头,中山大学附属汕头医院普外一科
- 折叠
摘要
Abstract
Objective To investigate clinical features and misdiagnosed causes of abdominal intracavitary calculi. Methods Clinical data of one patient with abdominal intracavitary calculi, who was misdiagnosed as having common bile duct calculi, was retrospectively analyzed. Results The patient was admitted for pain in right hypochondrial region for more than one month. The patient was misdiagnosed as having common bile duct calculi in local hospital, and patient's symptoms had be improved a little after symptomatic treatment, but the condition was recurrent. After admitting in our hospital, examinations such as blood routine, liver function, computed tomography ( CT) scan for abdomen and laparoscopic approach surgery under tracheal cannula and intubation anesthesia were performed, and the patient was confirmed as having abdominal intracavitary calculi combined with infection and chronic cholecystitis according to histopathologic result. The patient was discharged after condition had been improved by anti-infectious therapy. No related complication was found with 10 months of follow-up. Con-clusion Clinicians should take into account the possible of abdominal intracavitary calculi for patients with pain in right hypo-chondrial region without remission by symptomatic treatment. Related examinations should be performed completely in order to avoid misdiagnosis and mistreatment.关键词
腹腔内结石/误诊/胆总管结石Key words
Abdominal intracavitary calculi/Misdiagnosis/Choledocholithiasis分类
医药卫生引用本文复制引用
陈浩鑫,郑楚发,黄盛鑫,彭云恒..腹腔内结石误诊为胆总管结石一例[J].临床误诊误治,2017,30(12):13-14,2.
