由极小的肝囊肿引起的弥漫性肝内胆管扩张。

Diffuse intrahepatic bile duct dilation caused by a very small hepatic cyst.

作者信息

Inaba Tsuyoshi, Nagashima Ikuo, Ogawa Fujio, Tomioka Minetoshi, Okinaga Kota

机构信息

Department of Surgery, Faculty of Medicine, Teikyo University, Tokyo, Japan.

出版信息

J Hepatobiliary Pancreat Surg. 2003;10(1):106-8. doi: 10.1007/s10534-002-0816-6.

DOI:10.1007/s10534-002-0816-6

PMID:12918468

Abstract

A 72-year-old woman presented to our hospital with diffuse dilation of the intrahepatic bile ducts. Imaging studies revealed a solitary hepatic cyst, 3 cm in diameter, in segment 4 of Couinaud's category of the liver, riding on the hilar hepatic duct. Deroofing of the hepatic cyst was performed, and the dilation of the intrahepatic bile ducts was attenuated. We concluded that even a very small solitary hepatic cyst might cause stenosis of the common hepatic duct, if it is located just above the hepatic hilum.

摘要

一名72岁女性因肝内胆管弥漫性扩张入住我院。影像学检查显示，在Couinaud肝段分类的第4段有一个直径3厘米的孤立性肝囊肿，骑跨在肝门部肝管上。对肝囊肿进行了去顶术，肝内胆管扩张减轻。我们得出结论，即使是非常小的孤立性肝囊肿，如果位于肝门上方，也可能导致肝总管狭窄。