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Sonographic diagnosis of a common pancreaticobiliary channel in children.

作者信息

Chapuy Séverine, Gorincour Guillaume, Roquelaure Bertrand, Aschero Audrey, Paris Marie, Lambot Karine, Delarue Arnauld, Bourlière-Najean Brigitte, Petit Philippe

机构信息

Department of Paediatric Radiology, La Timone Children's Hospital, Marseille Cedex 05, France.

出版信息

Pediatr Radiol. 2006 Dec;36(12):1300-5. doi: 10.1007/s00247-006-0322-z. Epub 2006 Oct 7.

DOI:10.1007/s00247-006-0322-z
PMID:17028852
Abstract

BACKGROUND

A common pancreaticobiliary channel is a very rare condition, but its diagnosis is of paramount importance since it can lead to complications that can be prevented.

OBJECTIVE

To illustrate the sonographic diagnosis of a common pancreaticobiliary channel in children referred for abdominal pain or jaundice.

MATERIALS AND METHODS

Four children were diagnosed by ultrasonography and the diagnosis was subsequently confirmed by MRI.

RESULTS

Sonography demonstrated a pancreaticobiliary junction located in the pancreatic head above the sphincter of Oddi. This rare congenital anomaly was confirmed in all patients by MRI.

CONCLUSION

A common pancreaticobiliary channel can be diagnosed by sonography. Nevertheless, our experience is limited, and although sonography can provide an alert and can assist management, it cannot yet replace MRI.

摘要

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Pediatr Radiol. 2006 Dec;36(12):1300-5. doi: 10.1007/s00247-006-0322-z. Epub 2006 Oct 7.
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本文引用的文献

1
Technical outcomes and complications of ERCP in children.儿童内镜逆行胰胆管造影术的技术结果与并发症
Gastrointest Endosc. 2004 Sep;60(3):367-71. doi: 10.1016/s0016-5107(04)01721-3.
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Endoscopic retrograde cholangiopancreatography in the evaluation of anomalous junction of the pancreaticobiliary duct and related disorders.内镜逆行胰胆管造影术在胰胆管异常汇合及相关疾病评估中的应用
Abdom Imaging. 2003 Nov-Dec;28(6):847-52. doi: 10.1007/s00261-003-0031-0.
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Pancreaticobiliary maljunction: retrospective and nationwide survey in Japan.
75例胰胆管合流异常患儿的影像学表现:一项回顾性病例研究
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胰胆管合流异常:日本的回顾性全国调查
J Hepatobiliary Pancreat Surg. 2003;10(5):345-51. doi: 10.1007/s00534-002-0741-7.
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DPC-4 (Smad-4) and K-ras gene mutations in biliary tract epithelium in children with anomalous pancreaticobiliary ductal union.胰胆管合流异常患儿胆管上皮中DPC-4(Smad-4)和K-ras基因突变
J Pediatr Surg. 2003 May;38(5):694-7. doi: 10.1016/jpsu.2003.50185.
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Pancreaticobiliary maljunction: pathophysiological and clinical aspects and the impact on biliary carcinogenesis.胰胆管合流异常:病理生理与临床方面以及对胆管癌发生的影响
Langenbecks Arch Surg. 2003 Apr;388(2):122-31. doi: 10.1007/s00423-003-0370-x. Epub 2003 Apr 9.
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Using MR cholangiopancreatography to reveal anomalous pancreaticobiliary ductal union in infants and children with choledochal cysts.使用磁共振胰胆管造影术揭示胆总管囊肿患儿的胰胆管异常汇合。
AJR Am J Roentgenol. 2002 Jul;179(1):209-14. doi: 10.2214/ajr.179.1.1790209.
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Endoscopic retrograde cholangiopancreatography in the management of pancreaticobiliary disorders in children.内镜逆行胰胆管造影术在儿童胰胆疾病管理中的应用
J Gastroenterol Hepatol. 2001 Aug;16(8):927-31. doi: 10.1046/j.1440-1746.2001.02545.x.
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Choledochal cyst: comparison of MR and conventional cholangiography.
Clin Radiol. 2000 May;55(5):378-83. doi: 10.1053/crad.2000.0438.
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Progressive biliary pathology associated with common pancreato-biliary channel.与胰胆管共同通道相关的进行性胆道病变
J Pediatr Surg. 2000 Apr;35(4):649-51. doi: 10.1053/jpsu.2000.0350649.
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Dilatation of the biliary tree in children: sonographic diagnosis and its clinical significance.儿童胆管树扩张:超声诊断及其临床意义
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