Domínguez-Comesaña Elías
Servicio de Cirugía, Complejo Hospitalario de Pontevedra, Pontevedra, España.
Cir Esp. 2010 Nov;88(5):285-91. doi: 10.1016/j.ciresp.2010.04.003. Epub 2010 Jun 15.
Congenital dilations of the biliary tract are a group of rare conditions, commonly associated with the presence of an abnormality at the junction of the common bile duct and pancreatic duct, which may lead to the reflux of pancreatic juice within the biliary tree. The main clinical symptoms are, abdominal pain, cholangitis and acute pancreatitis, and the most serious complication is malignant degeneration. The treatment of choice is cholecystectomy and complete excision of the bile duct from its bifurcation to its intra-pancreatic segment.
先天性胆道扩张是一组罕见疾病,通常与胆总管和胰管交界处存在异常有关,这可能导致胰液在胆道系统内反流。主要临床症状为腹痛、胆管炎和急性胰腺炎,最严重的并发症是恶变。治疗的首选方法是胆囊切除术,并将胆管从其分叉处至胰腺内段完整切除。