Kuraoka S, Yamagiwa I, Nagae N, Washio M
Second Department of Surgery, Yamagata University School of Medicine, Japan.
Nihon Geka Gakkai Zasshi. 1990 Feb;91(2):287-9.
Obstructive jaundice secondary to benign, non-parasitic hepatic cysts is rare, since there are only 19 previously reported cases. We reported a case of polycystic disease of the liver and kidneys in which relief of developing jaundice was obtained by hepatic lobectomy and fenestration procedure for the multiple cysts. Immense occupancy and porta hepatis proximity of the cysts were triggers for developing jaundice. Urgent resection of the major cysts is recommended for extremely progressing jaundice.
继发于良性非寄生虫性肝囊肿的梗阻性黄疸较为罕见,此前仅有19例报道。我们报告了一例肝肾多囊病病例,通过肝叶切除术和对多个囊肿进行开窗术,缓解了逐渐加重的黄疸。囊肿巨大占位及靠近肝门是黄疸发生的诱因。对于进展极快的黄疸,建议紧急切除主要囊肿。