Chao Hsun-Chin, Chen Shih-Yen, Luo Chih-Cheng, Wang Chao-Jan
Division of Pediatric Gastroenterology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 33305, Taiwan.
J Pediatr Surg. 2008 Dec;43(12):e31-3. doi: 10.1016/j.jpedsurg.2008.09.004.
We report a 15-year boy who presented with obstructive cholangiopathy and pancreatitis after blunt abdominal trauma. A magnetic resonance cholangiopancreatography showed dilated common bile duct, dilated hepatic ducts, and a suspicious choledochoduodenal fistula. An endoscopic retrograde cholangiopancreatography revealed a parapapillary choledochoduodenal fistula. An operation of choledochojejunostomy, excision of common bile duct, and cholecystectomy was done for recurrent cholangitis. Abdominal symptoms completely subsided one month later. Serum amylase, lipase and bilirubin levels turned to normal 3 months after operation.
我们报告一名15岁男孩，其在腹部钝性创伤后出现梗阻性胆管病和胰腺炎。磁共振胰胆管造影显示胆总管扩张、肝内胆管扩张以及可疑的胆总管十二指肠瘘。内镜逆行胰胆管造影显示乳头旁胆总管十二指肠瘘。因复发性胆管炎行胆总管空肠吻合术、胆总管切除术和胆囊切除术。一个月后腹部症状完全消退。术后3个月血清淀粉酶、脂肪酶和胆红素水平恢复正常。
