IV型先天性胆总管囊肿并发急性胰腺炎：一例报告
Type IV congenital choledochal cyst concurrent with acute pancreatitis: a case report.
作者信息
Wang Jing-Tong, Wu Nan
机构信息
Department of Gastroenterology, People's Hospital, Beijing University, Beijing 100044, China.
出版信息
Hepatobiliary Pancreat Dis Int. 2005 May;4(2):311-2.
BACKGROUND
Congenital choledochal cyst is a rare kind of bile duct deformity, resulting from cystic or shuttle-like dilation of part of the choledochal duct congenitally. We present a 20-year-old girl with a congenital choledochal cyst complicated by acute pancreatitis.
METHOD
The clinical data of the woman with a congenital choledochal cyst concurrent with acute pancreatitis were retrospectively analyzed.
RESULT
The congenital choledochal cyst of the woman was type IV complicated by acute pancreatitis.
CONCLUSIONS
The diagnosis of congenital choledochal cyst mainly depends on CT, MRCP, and ERCP. Total excision of the choledochal cyst with Roux-en-Y hepaticojejunostomy is recommended as the treatment. For patients with type V cysts with frequently recurrent cholangitis resulting biliary liver cirrhosis, liver transplantation should be considered.
背景
先天性胆管囊肿是一种罕见的胆管畸形，由先天性胆总管部分呈囊性或梭形扩张所致。我们报告一名20岁患有先天性胆管囊肿并并发急性胰腺炎的女孩。
方法
回顾性分析一名患有先天性胆管囊肿并发急性胰腺炎女性的临床资料。
结果
该女性的先天性胆管囊肿为IV型并并发急性胰腺炎。
结论
先天性胆管囊肿的诊断主要依靠CT、磁共振胰胆管造影（MRCP）和内镜逆行胰胆管造影（ERCP）。建议采用胆总管囊肿全切并 Roux-en-Y 肝空肠吻合术进行治疗。对于V型囊肿且频繁复发胆管炎导致胆汁性肝硬化的患者，应考虑肝移植。
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