Yeh Benjamin M, Coakley Fergus V, Webb Emily M, Qayyum Aliya, Westphalen Antonio C, Way Lawrence W
Department of Radiology, University of California, San Francisco, CA 94143-0628, USA.
J Comput Assist Tomogr. 2008 Nov-Dec;32(6):886-9. doi: 10.1097/RCT.0b013e318159f159.
Computed tomographic (CT) findings involving the biliary intestinal limb of a Roux-en-Y choledochojejunostomy may be ambiguous because oral agents frequently do not reflux into that limb. We describe 2 cases where antegrade biliary intestinal limb opacification by intravenous CT cholangiography in the left lateral decubitus position obviated the need for biopsy of an apparent enlarging mass in the biliary intestinal limb. We conclude that CT cholangiography may help clarify the status of a Roux-en-Y choledochojejunostomy.
计算机断层扫描(CT)检查涉及Roux-en-Y胆总管空肠吻合术的胆肠吻合支时,结果可能不明确,因为口服造影剂通常不会反流至该吻合支。我们描述了2例通过左侧卧位静脉CT胆管造影使胆肠吻合支顺行显影的病例,这避免了对胆肠吻合支中明显增大肿块进行活检的必要性。我们得出结论,CT胆管造影可能有助于明确Roux-en-Y胆总管空肠吻合术的情况。