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一例胆总管重复畸形合并胆道闭锁病例。

A case of biliary atresia with duplication of the common bile duct.

作者信息

Yamataka A, Yanai T, Hosoda Y, Segawa O, Kobayashi H, Miyano T

机构信息

Department of Pediatric Surgery, Juntendo University School of Medicine, Tokyo, Japan.

出版信息

J Pediatr Surg. 2001 Mar;36(3):506-7. doi: 10.1053/jpsu.2001.21627.

Abstract

The authors report a case of biliary atresia (BA) with duplication of the common bile duct. A 1-month-old girl was referred for investigation of persistent jaundice. BA was suspected and confirmed with intraoperative cholangiography. A portoenterostomy was performed at 50 days of age. During dissection of the fibrous remnant of the common bile duct, a separate fibrous bile duct remnant running in parallel on the left, was identified. Histologically, there was bile duct proliferation at the porta hepatis of the left bile duct remnant. A diagnosis of BA with duplicated common bile duct was made. Postoperative course was uneventful, and at a follow-up assessment at 7 months, she was jaundice free, and her progress has been unremarkable.

摘要

作者报告了一例胆总管重复的胆道闭锁(BA)病例。一名1个月大的女孩因持续性黄疸接受检查。怀疑为BA,并通过术中胆管造影得以确诊。在50日龄时进行了肝门空肠吻合术。在解剖胆总管的纤维性残余物时,发现左侧有一条与之平行的独立纤维性胆管残余物。组织学检查显示,左侧胆管残余物的肝门处有胆管增生。诊断为胆总管重复的BA。术后过程顺利,在7个月的随访评估中,她已无黄疸,病情进展无异常。

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