floating gallbladder

遊走胆嚢

WordNet

1. not definitely committed to a party or policy; "floating voters"
2. the act of someone who floats on the water (同)natation
3. (of a part of the body) not firmly connected; movable or out of normal position; "floating ribs are not connected with the sternum"; "a floating kidney"
4. borne up by or suspended in a liquid; "the ship is still floating"; "floating logs"; "floating seaweed"
5. inclined to move or be moved about; "a floating crap game"
6. a muscular sac attached to the liver that stores bile (secreted by the liver) until it is needed for digestion (同)gall bladder

PrepTutorEJDIC

1. 浮かんでいる,浮いている / (生体の組織などが)遊離状態の / 流動的な
2. 胆のう

UpToDate Contents

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• 1. 網膜剥離 retinal detachment
• 2. 原発性眼障害関連の網膜血管炎 retinal vasculitis associated with primary ocular disorders
• 3. ブドウ膜炎：病因、臨床症状、および診断 uveitis etiology clinical manifestations and diagnosis
• 4. 全身性疾患および感染に関連した網膜血管炎 retinal vasculitis associated with systemic disorders and infections
• 5. イールズ病 eales disease

English Journal

• Wandering abdominal pain due to a floating gallbladder.

• Wu WC1, Chau GY, Su CW, Wu JC.
• Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver.Dig Liver Dis.2013 Nov;45(11):e13. doi: 10.1016/j.dld.2013.05.003. Epub 2013 Jun 25.
• PMID 23806755

• Gallbladder herniation into the lesser sac through the foramen of Winslow: report of a case.

• Numata K1, Kunishi Y, Kurakami Y, Tsuchida K, Yoshida T, Osaragi T, Yoneyama K, Kasahara A, Yamamoto Y, Yukawa N, Rino Y, Masuda M.Author information 1Department of Surgery, Ashigarakami Hospital, 866-1 Matsuda-souryo, Ashigarakami, Matsuda, Kanagawa, 258-0003, Japan, koji-numata@hotmail.co.jp.AbstractWe report a case of gallbladder hernia into the lesser sac through the foramen of Winslow. The patient was a 90-year-old woman, admitted to hospital with obstructive jaundice. Computed tomography (CT) showed a left-deviated and remarkably enlarged gallbladder dragging the liver, and a dilated intrahepatic bile duct. The deviated gallbladder was thought to compress the common bile duct, causing the obstruction. Laparoscopic examination revealed gallbladder herniation into the lesser sac without a floating gallbladder; thus, we performed laparoscopic cholecystectomy. Herniation of the gallbladder is the rarest of all internal hernias and most reported cases have involved a floating gallbladder. The case we report here is therefore considered especially unusual.
• Surgery today.Surg Today.2013 Oct;43(10):1194-8. doi: 10.1007/s00595-012-0478-0. Epub 2013 Jan 22.
• We report a case of gallbladder hernia into the lesser sac through the foramen of Winslow. The patient was a 90-year-old woman, admitted to hospital with obstructive jaundice. Computed tomography (CT) showed a left-deviated and remarkably enlarged gallbladder dragging the liver, and a dilated intrah
• PMID 23338597

• Fine structure of the Plasmodia and Myxospore of Ellipsomyxa gobioides n. sp. (Myxozoa) found in the gallbladder of Gobioides broussonnetii (Teleostei: Gobiidae) from the lower Amazon river.

• Azevedo C1, Videira M, Casal G, Matos P, Oliveira E, Al-Quraishy S, Matos E.Author information 1Department of Cell Biology, Institute of Biomedical Sciences (ICBAS/UP), University of Porto, Porto, Portugal; Lab of Pathology, Interdisciplinary Centre for Marine and Environmental Research (CIIMAR/UP), University of Porto, Porto, Portugal; Zoology Department, College of Science, King Saud University, Riyadh, Saudi Arabia.AbstractA fish infecting myxosporean Ellipsomyxa gobioides n. sp. is described in the gallbladder of the Amazonian dragon fish Gobioides broussonnetii. Irregular disporous plasmodia (up to ~30 μm in diameter) with long branched and anastomosed pseudopodia were found attached to the gallbladder wall. Mature ellipsoid myxospores occurring floating in the bile measured 6.8 (6.5-7.0) μm (n = 30) long, 7.2 (6.9-7.5) μm (n = 15) wide, and 13.1 (12.8-13.5) (n = 25) thick. They had smooth thin valves elongated in the direction perpendicular to the plane of the straight central transverse sutural line. The two ellipsoidal polar capsules (PC) opened some distance from the sutural line on opposite sides, each measuring 4.6 (4.3-4.8) μm (n = 15) long and 2.5 (2.1-2.7) μm (n = 20) wide. Distance between PC 3.5 (3.1-3.8) μm (n = 15) in apical view. The polar filament was isofilar and consisted of a single coil with five or six turns. The objective of this study was to characterize this new species based on its morphological differences from the three previously described species. This is the first reported species of genus Ellipsomyxa from among the South American fauna.
• The Journal of eukaryotic microbiology.J Eukaryot Microbiol.2013 Sep-Oct;60(5):490-6. doi: 10.1111/jeu.12056. Epub 2013 Jul 19.
• A fish infecting myxosporean Ellipsomyxa gobioides n. sp. is described in the gallbladder of the Amazonian dragon fish Gobioides broussonnetii. Irregular disporous plasmodia (up to ~30 μm in diameter) with long branched and anastomosed pseudopodia were found attached to the gallbladder wall. Matur
• PMID 23869881

Japanese Journal

• 大網裂孔ヘルニアに捻転を伴って嵌頓した浮遊胆嚢の1例

• 三木 明寛,石川 順英,森岡 広嗣,吉谷 新一郎,廣瀬 哲朗,西平 友彦
• 日本臨床外科学会雑誌 74(6), 1676-1679, 2013
• 症例は96歳，女性．上腹部痛，発熱で来院した．体重36kgで亀背が著明であった．CTで腫大し壁肥厚を伴う胆嚢の足側への下垂を認めた．横断・冠状断・矢状断面ともに胆嚢は肝下面とは離れていた．胆嚢壁の造影効果は減弱していた．血管の渦巻き像と胆嚢頸部に鳥嘴状の狭小像を認めた．胆嚢捻転と診断し緊急手術を行った．開腹所見ではGross II型の浮遊胆嚢で壊疽性胆嚢炎の所見を呈していた．先端が胆嚢近傍に癒着す …
• NAID 130004518738

• Floating gallbladder strangulation caused by the lesser omentum : report of a case

• MIYAKURA Yasuyuki,SADATOMO Ai,OHTA Makoto,LEFOR Alan T.,SATA Naohiro,NISHIMURA Naoyuki,SAKATANI Takashi,YASUDA Yoshikazu
• Surgery today : the Japanese journal of surgery 42(7), 693-696, 2012-07-01
• NAID 10030788394

• 高度捻転を伴う胆囊Winslow孔ヘルニアによる壊疽性胆囊炎の1手術例

• 福本 晃久,福岡 敏幸
• 日本消化器外科学会雑誌 45(10), 1033-1038, 2012
• 　今回，我々は極めてまれな高度捻転を伴う胆囊Winslow孔ヘルニアによる壊疽性胆囊炎の1手術例を経験したので報告する．症例は86歳の女性で，介護老人保健施設に入所中であった．5日前より発熱・上腹部痛が出現し，抗生剤を投与されていたが改善なく，精査・加療目的に当院紹介となった．腹部超音波検査では，胆囊結石は認めず，胆囊腫大と壁浮腫が著明であった．腹部CTでは，胆囊はWinslow孔に嵌入，胆囊頸部 …
• NAID 130004560759

Related Links

• 遊走胆嚢の6症例 SIX CASES WITH FLOATING GALLBLADDER

遊走胆嚢floating gallbladder(以下FGと略す)とは,胆嚢の全体が腹膜で被覆され,腸間膜様間膜で肝下面胆嚢窩に付着し,可動性が異常に大きい胆嚢をいう.臨床的には胆嚢捻転症としての報告が多い.今回,異常に大きい可動性を有する胆嚢6症例を ...

• Gall Bladder Pathology Online - Floating (Wandering) Gall ...

Abstracts: Wandering gallbladder. Am J Surg. 2008 Aug;196(2):240-1. A wandering gallbladder typically is attached to surrounding structures only by the cystic duct and its mesentery. Its characteristic propensity ...

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★リンクテーブル★

リンク元

「遊走胆嚢」

「遊走胆嚢」

　　[★]

英

wandering gallbladder, floating gallbladder

関

胆嚢。肝内胆嚢

• 胆嚢の位置の異常である。
• 通常、胆嚢は体部と頚部の上面が肝床に結合織性に固定されているが、胆嚢間膜を介して肝下面より下垂しているものを遊走胆嚢と呼ぶ
• 胆嚢や胆嚢管の肝下面への固定が不完全なため、胆嚢は下垂し体位性に異常に可動する。
• 胆嚢間膜が大きく、胆嚢が大きく位置が変位するために右季肋部の鈍痛や激痛を呈する場合がある。特に胆嚢捻転症(ないし胆嚢軸捻転)により開腹手術を要する場合もあり、高齢女性に頻度が高い。