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[II 型胆管囊肿还是副胆囊?]

[Type II bile duct cyst or accessory gall bladder?].

作者信息

Funáková M, Porubský J, Cingel V, Trnka J, Horn F

机构信息

Klinika detskej chirurgie DFNsP a LF UKo, Bratislava, Slovenská republika.

出版信息

Rozhl Chir. 2010 Feb;89(2):140-5.

Abstract

Choledochal and bile duct's cysts are well known, their morphological classification and also operative management had been described in detail. The most frequent are cysts' types I. and IV., in which the operation consists of cyst's resection and biliary tract reconstruction. Authors summarize nowadays knowledge and present case of 21-months old girl, who was diagnosed of choledochal cyst accidentally. She was operated on electively; the operative finding verified 2 cystic lesions with own bile ducts joined to choledochal duct. The proximal cyst had 3 diverticles and thus mimicked a choledochal cyst type IV. on the preoperative examinations. The resection of both cystic lesions was done. This is a unique case of biliary tract malformations.

摘要

胆总管囊肿和胆管囊肿广为人知,其形态学分类及手术治疗方法均已得到详细描述。最常见的囊肿类型是I型和IV型,手术包括囊肿切除和胆道重建。作者总结了目前的相关知识,并介绍了一名21个月大女童的病例,该女童意外被诊断为胆总管囊肿。她接受了择期手术;手术发现证实有2个囊性病变,其自身的胆管与胆总管相连。近端囊肿有3个憩室,因此在术前检查中类似IV型胆总管囊肿。两个囊性病变均被切除。这是一例独特的胆道畸形病例。

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