胆总管囊肿伴巨大结石影及门静脉高压。
Choledochal cyst with large stone cast and portal hypertension.
机构信息
Department of Gastrointestinal Surgery, GB Pant Hospital & Maulana Azad Medical College, New Delhi, India.
出版信息
Hepatobiliary Pancreat Dis Int. 2009 Dec;8(6):647-9.
BACKGROUND
Choledochal cysts in adults are more commonly associated with complications such as cystolithiasis, recurrent cholangitis, portal hypertension and malignancy, than in the pediatric age group.
METHOD
We report a case of adult choledochal cyst with long-term complication of large stone cast and portal hypertension due to secondary biliary cirrhosis.
RESULTS
A 50-year-old patient presented with obstructive jaundice and hepatosplenomegaly. On investigation, she was diagnosed as having a choledochal cyst with large stone cast and portal hypertension. Single stage resection of the choledochal cyst with Roux-en-Y hepaticojejunostomy was done by meticulous dissection and ligation of collaterals.
CONCLUSION
Single stage resection of a choledochal cyst is possible in spite of associated portal hypertension, if the portal vein is patent.
背景
成人胆管囊肿比儿科更常与并发症相关，如胆石症、复发性胆管炎、门静脉高压和恶性肿瘤。
方法
我们报告一例成人胆管囊肿的长期并发症为大结石铸型和继发性胆汁性肝硬化引起的门静脉高压。
结果
一名 50 岁患者因阻塞性黄疸和肝脾肿大就诊。检查发现患者患有胆管囊肿、大结石铸型和门静脉高压。通过仔细分离和结扎侧支循环，行一期胆管囊肿切除和 Roux-en-Y 肝肠吻合术。
结论
如果门静脉通畅，即使合并门静脉高压，也可进行一期胆管囊肿切除术。
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