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1. 困難が伴う胆嚢摘出術への対処managing the difficult gallbladder [show details]
…which makes it heavier, less flexible, and harder to elevate to expose the gallbladder. The gallbladder is also often intrahepatic, which makes it more difficult to dissect from the liver bed. Implementation …
2. 開腹下胆嚢摘出術open cholecystectomy [show details]
…include the following: Intrahepatic gallbladder – Intrahepatic gallbladder can be removed in the usual fashion. Rarely, it is necessary to leave the back wall of the gallbladder on the liver bed to avoid …
3. 胆管癌の臨床症状および診断clinical manifestations and diagnosis of cholangiocarcinoma [show details]
…arising in the intrahepatic, perihilar, or distal (extrahepatic) biliary tree, exclusive of gallbladder and ampulla of Vater . Approximately 5 to 10 percent of cholangiocarcinomas are intrahepatic. Intrahepatic …
4. 限局性胆管癌の治療：補助化学療法および術前補助化学療法と予後treatment of localized cholangiocarcinoma adjuvant and neoadjuvant therapy and prognosis [show details]
… following curative-intent surgery for biliary tract cancers (extrahepatic and intrahepatic bile duct as well as gallbladder cancer) were addressed in a meta-analysis that included a single randomized trial …
5. 新生児や乳児に生じる胆汁うっ滞の原因causes of cholestasis in neonates and young infants [show details]
… biliary cysts rather than biliary atresia include larger cyst size, dilated intrahepatic bile ducts, and normal-appearing gallbladder . Management depends on the type of cyst and presence of biliary obstruction …

English Journal

Japanese Journal

Cystic duct anomaly and pancreaticobiliary maljunction mimicking choledochal cyst

Hien Duy Pham,Okata Yuichi,Tam Tran Duc,Hoan Manh Vu,Nam Tran Xuan
Journal of Pediatric Surgery Case Reports (57), 101440, 2020-06
… A choledochal cyst (CC) is an abnormal congenital dilatation of the extrahepatic or intrahepatic biliary tree and is usually diagnosed during childhood. … Herein we report a case of a 12-year-old male whose MRCP was suggestive choledochal cyst with gallbladder agenesis. …
NAID 120006863547

萎縮した胆嚢床の合併切除を施行した腹腔鏡下胆嚢摘出術の１例

飯沼伸佳,蒲池厚志,北川敬之,秋田眞吾,三輪史郎
信州医学雑誌 67(6), 431-436, 2019
… DICCT revealed atrophied subsegments of the liver covering the gall bladder and the intrahepatic bile ducts B4a and B5a running along the fundus. … Enhanced CT and MRI did not show a clear image of intrahepatic ducts around the fundus. … In this case, the intrahepatic bile ducts were closed safely owing to preoperative diagnostic imaging. … If we had performed the operation without identifying these intrahepatic ducts, postoperative bile leakage might have occurrred. …
NAID 130007783205

外傷性胆嚢損傷を契機に発見された胆管非拡張型膵・胆管合流異常の1例

廣島裕也,篠原永光,福田洋,住友正幸,吉田金広,川上行奎
日本臨床外科学会雑誌 80(6), 1218-1222, 2019
<p>症例は38歳，男性．空手の練習中に心窩部を蹴られ，腹痛と嘔吐を主訴に受診した．腹部CT検査で胆嚢損傷を疑い，同日に腹腔鏡下胆嚢摘出術を行った．胆嚢に明らかな穿孔を伴わない胆汁性腹膜炎であった．術中胆道造影で約20mmの共通管を確認し，胆管非拡張型膵・胆管合流異常を疑った．摘出胆嚢は病理組織検査でBiliary intraepithelial neoplasia（BilIN）-1， …
NAID 130007777653

Related Links

Intrahepatic Gallbladder - PubMed Central (PMC)

An intrahepatic gallbladder is one where the gallbladder lies within the liver parenchyma or has a subcapsular location along the anterior inferior right lobe of the liver. Intrahepatic gallbladders can have impaired function leading to the formation of gallbladder stones.

Intrahepatic Gallbladder - Journal of the American College of ...

The intrahepatic gallbladder is a rare anomaly, asymptomatic in itself but commonly associated with the development of cholelithiasis. Development of the gallbladder and the biliary tree begins during the first 3 weeks of gestation with the development of an endodermal bud from the foregut. The bud separates into two parts: hepatic and biliary. 1

(PDF) Intrahepatic Gallbladder - ResearchGate

An intrahepatic gallbladder is one where the gallbladder lies within the liver parenchyma or has a subcapsular location along the anterior inferior right lobe of the liver. Intrahepatic...