胆总管囊肿在成年期的并发症。

Hopkins N F, Benjamin I S, Thompson M H, Williamson R C

HepatoPancreatoBiliary Surgery Unit, Royal Postgraduate Medical School, London.

Ann R Coll Surg Engl. 1990 Jul;72(4):229-35.

Choledochal cyst is a well-recognised entity, presenting primarily in infants and young children. Where symptoms are delayed until adulthood, associated hepatobiliary pathology may complicate the presentation. These problems may be aggravated by previous treatment with bypass surgery rather than resection. We report seven cases from our recent experience presenting with complications in adulthood. These included cholangitis, hepatic abscess, pancreatitis and malignancy within the cyst. Two patients presented during pregnancy. These complications and their implications for management are discussed.

胆总管囊肿是一种广为人知的疾病，主要发生于婴幼儿。若症状延迟至成年期出现，相关的肝胆病变可能会使病情复杂化。先前采用旁路手术而非切除术进行治疗可能会加重这些问题。我们报告了近期遇到的7例在成年期出现并发症的病例。这些并发症包括胆管炎、肝脓肿、胰腺炎以及囊肿内的恶性肿瘤。两名患者在孕期发病。本文将对这些并发症及其对治疗的影响进行讨论。