Esteban Granero Lucas, Marinelli Pablo, García Andrada Daniel, Marangoni Alberto, Casaretto Eduardo
Servicio de Cirugía General, Hospital San Roque, Córdoba, Argentina.
Acta Gastroenterol Latinoam. 2009 Sep;39(3):193-6.
Type IV A choledochal cyst is a very uncommon disease, characterized by congenital cystic dilatation of the biliary tree extending to the intrahepatic biliary channels also. A case of a 19-year-old female with jaundice and abdominal pain is reported. The patient underwent a thorough clinical, laboratory and imaging examination. Computerized tomography and magnetic cholangiopancreatography revealed a 13.5 cm choledochal cyst with intrahepatic involvement. Excision of the extrahepatic part of cyst was combined with a Roux-en-Y hepaticojejunostomy. A ductal stricture was discovered at the distal part of extrahepatic cyst. There were no perioperative and late complications in the follow-up.
IV 型胆总管囊肿是一种非常罕见的疾病，其特征是胆管树的先天性囊性扩张，也延伸至肝内胆管。本文报道了一例19岁黄疸伴腹痛的女性病例。该患者接受了全面的临床、实验室及影像学检查。计算机断层扫描和磁共振胰胆管造影显示一个13.5厘米的胆总管囊肿并累及肝内胆管。囊肿肝外部分切除并联合 Roux-en-Y 肝空肠吻合术。在肝外囊肿远端发现一处导管狭窄。随访期间无围手术期及远期并发症。
