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患者女,56岁。因反复上腹部疼痛十余年伴向肩部放射,加重半年而于93年4月28日入院。查体:肝胆脾未扪及。莫菲氏征(一)。院内及院外多次B超检查:胆囊区未见胆囊影象,可见增强光团光斑伴声影。胆总管正常粗细,肝内胆管无扩张。B超提示:胆囊萎缩,胆囊结石可能。手术探查所见:胆囊窝未扪及胆囊,亦未扪及结石。右肝亦未摸到胆囊。胆总管解剖结构正常,粗细正常。总胆
Female patient, 56 years old. Due to repeated pain in the upper abdomen more than ten years with shoulder radiation, aggravating six months and in April 28, 93 admission. Examination: hepatobiliary spleen not palpable. Murphy’s sign (a). Hospital and outside the hospital several times B-ultrasound: gallbladder area no gallbladder image, showing enhanced light bolus with sound shadow. Common bile duct thickness, intrahepatic bile duct without expansion. B-Tip: gallbladder atrophy, gallbladder stones may be. Surgical exploration saw: gallbladder fossa not palpable gallbladder, nor palpable stones. The right liver has not touched the gallbladder. Common bile duct anatomical structure, thickness and normal. Total gall