腹腔镜胆囊切除术中发现阑尾与胆囊粘连一例

急性胆囊炎是一种非常常见的急腹症，多为开腹手术。 阑尾粘连到胆囊是一种非常罕见的情况，在腹腔镜手术中被发现。 一名 54 岁的女性患者，已知患有糖尿病和高血压，出现持续四个月的右上腹痛。 疼痛的严重程度在增加，并且与脂肪餐有关。 她被诊断为急性胆囊炎，被送入手术室进行腹腔镜胆囊切除术。 发现阑尾与胆囊粘连，行腹腔镜胆囊切除术和腹腔镜阑尾切除术。 普通外科医生应考虑阑尾与胆囊的粘连。

腹腔镜胆囊切除术中发现阑尾与胆囊粘连一例

阑尾与胆囊粘连。

腹腔镜胆囊切除术中发现阑尾与胆囊粘连一例

发炎的胆囊。

腹腔镜胆囊切除术中发现阑尾与胆囊粘连一例

腹腔镜阑尾切除术。

阑尾的粘连可能以多种方式发生。 然而，很少见到阑尾与胆囊的粘连。 因此，即使没有异常的实验室结果，外科医生也应该意识到这些类型的变异以避免不熟悉的并发症。 正如在该病例中所报告的那样，在腹腔镜胆囊切除术中发现了阑尾粘连。

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