{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T11:55:01Z","timestamp":1676894101882},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"19","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Anamnese und klinischer Befund\u2002Ein 56-j\u00e4hriger Patient stellte sich mit rezidivierenden rechtsseitigen Oberbauchschmerzen in unserer Sprechstunde vor. Bei sonst allgemeinem Wohlbefinden pr\u00e4sentierte er ein weiches Abdomen bei insgesamt unauff\u00e4lligem Untersuchungsbefund. Au\u00dfer einer Appendektomie sowie Exzision eines malignen Melanoms am Ellenbogen vor einigen Jahren bestanden keine weiteren Vorerkrankungen oder Voroperationen.<\/jats:p><jats:p>\n          Untersuchungen\u2002Ein bereits extern angefertigtes CT des Abdomens zeigte eine Cholezystolithiasis sowie eine unklare Wandverdickung der Gallenblase. Laborchemisch konnten keine relevanten Auslenkungen festgestellt werden.<\/jats:p><jats:p>\n          Diagnose, Therapie und Verlauf\u2002Nach unkomplizierter Cholezystektomie erfolgte histopathologisch im Pr\u00e4parat der Nachweis einer Metastase des vor Jahren behandelten malignen Melanoms. Im angeschlossenen Staging wurden au\u00dferdem weitere pulmonale Metastasen diagnostiziert und im weiteren Verlauf in palliativer Intention reseziert.<\/jats:p><jats:p>\n          Folgerung\u2002Gallenblasenmetastasen sind eine Rarit\u00e4t \u2013 einige Studien lassen aber gerade beim malignen Melanom eine hohe Dunkelziffer vermuten.<\/jats:p><jats:p>Entsprechende Beschwerden bei onkologischer Anamnese sollten also eine aufmerksame Diagnostik zur Folge haben und die Indikation zur Cholezystektomie sollte gro\u00dfz\u00fcgig gestellt werden.<\/jats:p>","DOI":"10.1055\/a-1918-5473","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T23:25:03Z","timestamp":1663716303000},"page":"1277-1280","source":"Crossref","is-referenced-by-count":1,"title":["Gallenblasenmetastase eines malignen Melanoms"],"prefix":"10.1055","volume":"147","author":[{"given":"Alexander","family":"Strick","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein- und 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