临床误诊误治2018，Vol.31Issue(6)：19-21,3.DOI:10.3969/j.issn.1002-3429.2018.06.007
黄色肉芽肿性胆囊炎八例误诊剖析
Analysis of Misdiagnosis of Eight Cases of Xanthogranulomatous Cholecystitis
摘要
Abstract
Objective To investigate the clinical features and causes of misdiagnosis of gallbladder calcu-lous cholecystitis ( XGC) , so as to improve the level of diagnosis and treatment. Methods A retrospective analysis was performed to analyze the clinical data of 8 case of XGC misdiagnosed as gallbladder cancer. Results All pa-tients in this group had distension and pain in right upper abdomen, which were misdiagnosed as gallbladder cancer. The average duration of misdiagnosis was (44. 38 ± 10. 62) h. All the patients underwent surgical resection, and were diagnosed as XGC based on the postoperative pathological examination, including 2 cases of infection by inci-sion, and 1 with inflammatory biliary stenosis. They were followed up for 3 months to 1 year after discharge. The pa-tient with inflammatory biliary stenosis developed obstructive jaundice at 6 months after operation, for which ERCP +stent implantation was performed, and the patient recovered well. The prognosis of other 7 case was favorable. Con-clusion The clinical symptoms of XGC are not specific, therefore, early diagnosis can effectively avoid misdiagnosis and mistreatment, and improve the prognosis of patients.关键词
黄色肉芽肿性胆囊炎/误诊/胆囊癌Key words
Xanthogranulomatous cholecystitis/Misdiagnosis/Gallbladder cancer分类
医药卫生引用本文复制引用
谢辉,王锦江..黄色肉芽肿性胆囊炎八例误诊剖析[J].临床误诊误治,2018,31(6):19-21,3.基金项目
陕西省自然科学基金(2011KRM11) （2011KRM11）
