肝胆囊管切除术——肝外胆管系统的一种罕见异常：病例报告
Resection of hepaticocystic duct which is a rare anomaly of the extrahepatic biliary system: a case report.
作者信息
Harada Nobuhiro, Sugawara Yasuhiko, Ishizawa Takeaki, Kaneko Junichi, Sakamoto Yoshihiro, Aoki Taku, Hasegawa Kiyoshi, Kokudo Norihiro
机构信息
Hepatobiliary Pancreatic Surgery Division and Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
出版信息
J Med Case Rep. 2013 Dec 30;7:279. doi: 10.1186/1752-1947-7-279.
INTRODUCTION
There are several variations in the morphologic characteristics of the extrahepatic biliary system. A hepaticocystic duct is one of the rare variations.
CASE PRESENTATION
A 69-year-old Asian man underwent a cholecystectomy for cholelithiasis. His cystic duct was not detected during surgery. An intraoperative cholangiography revealed that his common hepatic ducts drained directly into the neck of his gallbladder. There was no common bile duct, as evidenced by the union of the common hepatic and cystic ducts.
CONCLUSION
Knowledge of anomalies related to the extrahepatic biliary system is important for decreasing the severe morbidity and mortality that may result from a failure to recognize the anomaly.
引言
肝外胆管系统的形态学特征存在多种变异。肝胆囊管是罕见的变异之一。
病例报告
一名69岁的亚洲男性因胆结石接受胆囊切除术。手术中未发现其胆囊管。术中胆管造影显示其肝总管直接汇入胆囊颈部。肝总管与胆囊管汇合处表明不存在胆总管。
结论
了解与肝外胆管系统相关的异常情况对于降低因未能识别异常而可能导致的严重发病率和死亡率非常重要。
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