Dostalik Jan, Gunka Igor, Martínek Lubomir, Cernoch Jirí, Mazur Miloslav
Department of Surgery, University Hospital Ostrava, Czech Republic.
Hepatogastroenterology. 2007 Mar;54(74):393-6.
In European countries, choledochal cysts are rare anomalies of the bile tract. At the Surgery Department of the University Hospital Ostrava, a case of a patient with cystic lesion of the pancreatic head was solved. According to ultrasonography and computer tomography it was assumed to be a pancreatic pseudocyst. Only after a complete additional examination of the pancreatico-biliary system, was it diagnosed Ia-type cystic dilatation of the common bile duct, accompanied by stenosis in its terminal part. With regard to the age of the first clinical symptoms, their character and histopathological findings, congenital origin is assumed in both of these anomalies. After provisional percutaneous transhepatic biliary drainage, a duodenohemipancreatectomy was performed with complete cyst excision. Until now, nine months later, the patient has shown absolutely no clinical difficulties.
在欧洲国家，胆总管囊肿是胆道的罕见异常。在俄斯特拉发大学医院外科，解决了一例胰头囊性病变患者的病例。根据超声检查和计算机断层扫描，推测为胰腺假性囊肿。仅在对胰胆管系统进行全面的附加检查后，才诊断为胆总管Ia型囊性扩张，并伴有其末端狭窄。考虑到首次临床症状的年龄、症状特征和组织病理学发现，这两种异常均假定为先天性起源。在临时经皮经肝胆道引流后，进行了十二指肠半胰切除术并完整切除囊肿。到目前为止，九个月后，患者完全没有出现临床问题。
