Leelawat Kawin, Wannaprasert Jerasak
Department of Surgery, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
J Med Assoc Thai. 2009 Jul;92(7):983-6.
Hepatolithiasis is well known to represent an etiology of cholangiocarcinoma. The average age of patients with a diagnosis of cholangiocarcinoma that occurs as a complication of hepatolithiasis is about 62-year-old. Here, the authors present a case of cholangiocarcinoma that occurred in a 24-year-old woman who presented with the recurrent cholangitis from hepatolithiasis. Left hepatectomy with hepaticojejunostomy was performed because she had multiple stones in an atrophic left lobe of the liver. Histopathological examination revealed that it was cholangiocarcinoma located in the inflammatory left hepatic duct.
肝内胆管结石是胆管癌的一种已知病因。诊断为作为肝内胆管结石并发症出现的胆管癌患者的平均年龄约为62岁。在此,作者报告一例胆管癌病例,该病例发生在一名24岁女性身上,她因肝内胆管结石出现复发性胆管炎。由于她萎缩的左肝叶有多个结石,因此进行了左肝切除并肝空肠吻合术。组织病理学检查显示,这是一例位于炎性左肝管的胆管癌。