胆嚢漿膜面に認めた異所性肝組織(ectopic liver tissue)の11例  [in Japanese] 11 CASES OF ECTOPIC LIVER TISSUES ON SEROSAL SURFACE OF GALLBLADDER  [in Japanese]

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Abstract

当科にて1984年1月から1995年5月までに1,342回の腹腔鏡検査を施行し,胆嚢を観察し得た1,278例中,胆嚢漿膜面に異所性肝組織を認めたものは11例(0.86%)であった.症例は18歳から62歳で,男性3例,女性8例であった.異所性肝組織によると考えられる症状は認められず,また超音波,腹部CT検査で存在診断可能な症例はなかった.腹腔鏡検査時,ICG大量静注法(3mg/kg負荷)を併用し,全例に主肝と同様に着色を認めた.同部の組織学的検索は成し得なかったが,肉眼所見とICG負荷により着色を認めたことから,異所性肝組織と診断した.大きさはすべて径15mm以下であり,2カ所に認めた1例を除き,10例は単発であった. われわれが調べ得た限りでは,これまで本邦における異所性肝組織の報告は1995年3月までに47例の報告があるが,腹腔鏡検査で胆嚢漿膜面に認めた報告は10例と少なく,文献的考察を加え報告する.

From January in 1984 to May in 1995, we performed laparoscopy for 1342 patients and were able to observe gallbladders in 1278 cases. Among them, 11 patients (0.86%) were found to have ectopic liver tissue on serosal surface of the gallbladder. These cases were composed of 3 male and 8 female with age of 18 to 62 years. There were no symptoms relevant to the ectopic liver tissues. They were less than 15 mm in diameter, and were stained greenish by intravenous ICG injections similarly as the liver. Ten of 11 cases had single ectopic tissue and 1 case with two tissues.

Journal

  • GASTROENTEROLOGICAL ENDOSCOPY

    GASTROENTEROLOGICAL ENDOSCOPY 38(12), 2903-2905, 1996-12-20

    Japan Gastroenterological Endoscopy Society

References:  16

Cited by:  3

Codes

  • NII Article ID (NAID)
    10008709243
  • NII NACSIS-CAT ID (NCID)
    AN00192102
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03871207
  • Data Source
    CJP  CJPref  J-STAGE 
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