Hiramatsu K, Paye F, Kianmanesh A R, Sauvanet A, Terris B, Belghiti J
Department of Digestive Surgery, Hospital Beaujon, University Paris VII, Clichy, France.
J Hepatobiliary Pancreat Surg. 2001;8(1):92-4. doi: 10.1007/s005340170056.
We report here the first case of choledochal cyst associated with a benign stenosis of the cephalic part of the main pancreatic duct. The pancreatic ductal stenosis was associated with a protein plug located upstream of the stenosis. Preoperatively, it was not possible to rule out a localized intraductal pancreatic tumor, and a pylorus-preserving pancreaticoduodenectomy was performed. This association has not been described previously, and gives new insights into the pathogenesis of acute pancreatitis associated with choledochal cyst.
我们在此报告首例胆总管囊肿合并主胰管头部良性狭窄的病例。胰管狭窄与狭窄上游的蛋白栓有关。术前无法排除局限性导管内胰腺肿瘤，因此实施了保留幽门的胰十二指肠切除术。这种关联此前尚未见报道，为胆总管囊肿相关急性胰腺炎的发病机制提供了新见解。
