Sekulovski K, Stojanov D, Gabunja V, Radojevic M, Prodanov L
Acta Chir Iugosl. 1976;23(1):75-81.
Cysts of the common bile duct, (also known as common bile coeles, or as common bile cysts) are quite rare. Those of the ampulla of Vater are a curious phenomena. Cysts of the extrahepatic part of the common bile duct can be quite large, excentrically located, and produce a triad of symptoms: pain, tumor and jaundice. These symptoms are intermittent, however, due to the periodic emptying of the cysts' contents into the duodenum. Cysts of the ampulla of Vater are those which occur in the intraduodenal part of the bile duct, and almost always found projecting into the lumen of the duodenum--imitating a tumor as it was in our case. Preoperative diagnosis of these cysts is extremely difficult, especially if the cyst is situated on the ampullar part of the common bile duct, and they are usually discovered during the operation. Possible compression of the ampulla of Vater, and the pancreatic duct can result in recidivating pancreatitis. The operative approach is dependent on the size of the cyst, and its location. The best is the complete removal of the cyst, and a correction of bile flow.
胆总管囊肿（也称为胆总管膨出或胆总管囊肿）相当罕见。 Vater壶腹囊肿是一种奇特的现象。胆总管肝外部分的囊肿可能相当大，位置偏心，并产生三联征症状：疼痛、肿块和黄疸。然而，由于囊肿内容物周期性排入十二指肠，这些症状是间歇性的。Vater壶腹囊肿是发生在胆管十二指肠内部的囊肿，几乎总是发现突出到十二指肠腔内——就像我们病例中的那样类似肿瘤。这些囊肿的术前诊断极其困难，尤其是当囊肿位于胆总管壶腹部分时，它们通常在手术中才被发现。Vater壶腹和胰管可能受到压迫，从而导致复发性胰腺炎。手术方法取决于囊肿的大小及其位置。最好是完整切除囊肿，并矫正胆汁引流。
