De Carlo Antonio, Altobelli Simone, Cucci Marcello, Masella Mario, D'Amico Giampiero
UO di Chirurgia Generale, Ospedale S. Massimo, Penne (Pescara), ASL Pescara.
Chir Ital. 2005 Jul-Aug;57(4):499-503.
The Authors describe a case of intrahepatic biliary papillomatosis, which extended from the left to part of the right hepatic biliary tract. Biliary papillomatosis is a rare disease characterised by obstruction and frequently by cholangitis. The diagnosis is possible only after the final pathological analysis. The patient was studied with MRI cholangiography, which showed amorphous material in the biliary tract. The surgical treatment was a left hepatectomy (primary therapy) and an intensive follow-up was recommended. Biliary papillomatosis may become a new indication for liver transplantation.
作者描述了一例肝内胆管乳头状瘤病，其从左肝内胆管延伸至部分右肝内胆管。胆管乳头状瘤病是一种罕见疾病，其特征为梗阻，且常伴有胆管炎。只有经过最终病理分析才能确诊。对该患者进行了磁共振胰胆管造影检查，结果显示胆管内有非晶质物质。手术治疗为左肝切除术（主要治疗方法），并建议进行密切随访。胆管乳头状瘤病可能会成为肝移植的新适应证。
