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患者女性,42岁。因右上腹不适入院。查体:右上腹轻压痛,无反跳痛及肌紧张,墨菲征(-),肝脾肋下未触及。B超示胆囊大小正常,于胆囊颈部附壁可见一直径0.9 cm的息肉,中等回声,不随体位改变而移动,胆总管无扩张。临床诊断:胆囊息肉。行腹腔镜胆囊切除术。病理检查巨检:胆囊9 cm×4 cm×4 cm大小,胆囊壁增厚,于胆囊颈部黏膜面可见息肉样肿物一个,直径0.8 cm,
Patient female, 42 years old. Due to right upper quadrant unwell admission. Physical examination: the right upper quadrant mild tenderness, no rebound tenderness and muscle tension, Murphy sign (-), liver and spleen ribs did not touch. B ultrasound shows the normal size of the gallbladder, attached to the wall of the gallbladder showed a diameter of 0.9 cm polyps, moderate echo, does not change with the position and move, no expansion of the common bile duct. Clinical diagnosis: gallbladder polyps. Laparoscopic cholecystectomy. Pathological examination of giant gallbladder: gallbladder 9 cm × 4 cm × 4 cm size, thickening of the gallbladder wall, visible in the gallbladder neck mucosa polypoid tumor, a diameter of 0.8 cm,