Seo Ji Young, Oh Tae Hoon, Jeon Tae Joo, Seo Dong Dae, Shin Won Chang, Choi Won Choong
Division of Gastroenterology, Department of Internal Medicine, Inje University Sanggye Paik Hospital, 1342 Dongil-ro, Nowon-gu, Seoul 139-707, Korea.
Korean J Gastroenterol. 2012 Aug;60(2):119-22. doi: 10.4166/kjg.2012.60.2.119.
Hepatic peribiliary cysts (HPCs) are characterized by cystic dilatations of the peribiliary glands located throughout the branches of the biliary systems. Specifically, they are mainly located along the hepatic hilum and major portal tracts. The natural history and prognosis of HPCs are uncertain. In fact, almost all HPCs have been discovered incidentally during radiological examination or autopsy, and they are considered to be clinically harmless. Recently, several cases of HPCs associated with obstructive jaundice or liver failure were reported in patients with pre-existing liver disease in several studies. However, until now there have been no reports of such a case in Korea. Herein, we report a case of HPCs that show a disease course with a poor prognosis. These HPCs developed in a 47-year-old man with progressive alcoholic liver cirrhosis.
肝内胆管周围囊肿(HPCs)的特征是位于整个胆管系统分支的胆管周围腺体呈囊性扩张。具体而言,它们主要沿肝门和主要门静脉分支分布。HPCs的自然病程和预后尚不确定。事实上,几乎所有的HPCs都是在影像学检查或尸检时偶然发现的,并且被认为临床上无害。最近,几项研究报道了一些患有基础肝病的患者中出现了与梗阻性黄疸或肝衰竭相关的HPCs病例。然而,迄今为止韩国尚无此类病例的报告。在此,我们报告一例预后不良病程的HPCs病例。这些HPCs发生在一名47岁患有进行性酒精性肝硬化的男性身上。