胆管囊肿破裂的处理

Management of a ruptured bile duct cyst.

作者信息

Fragulidis Georgios P, Marinis Athanasios D, Anastasopoulos Georgios V, Vasilikostas Georgios K, Koutoulidis Vasilis

机构信息

Second Department of Surgery, Areteion University Hospital, Athens Medical School, University of Athens, Athens, Greece.

出版信息

J Hepatobiliary Pancreat Surg. 2007;14(2):194-6. doi: 10.1007/s00534-006-1128-y. Epub 2007 Mar 27.

DOI:10.1007/s00534-006-1128-y

PMID:17384913

Abstract

A case of a ruptured bile duct cyst in a 25-year-old male patient is presented. The initial management of the clinical presentation of acute abdomen consisted of an exploratory laparotomy and a T-tube cystostomy of a choledochal cyst. Two months later, he was admitted to our surgical department. Preoperative evaluation showed a type IV-A choledochal cyst. The patient underwent excision of the choledochal cyst, cholecystectomy, and the construction of a Roux-en-Y end-to-side hepaticojejunostomy.

摘要

本文报告一例25岁男性患者胆管囊肿破裂的病例。急性腹痛临床表现的初始治疗包括剖腹探查和胆总管囊肿T管造瘘术。两个月后，他入住我们的外科。术前评估显示为IV-A型胆总管囊肿。患者接受了胆总管囊肿切除术、胆囊切除术以及Roux-en-Y肝空肠端侧吻合术。