Fuks David, Borgaonkar Vijay, Deshpande Sushil, Deshpande Vaishali, Mouly Charlotte, Borgaonkar Viraj, Mauvais Francois, Jadhav Vaishali, Regimbeau Jean-Marc
Department of Digestive Surgery-CHU Nord Amiens, University of Picardy, Place Victor Pauchet, 80054 Amiens Cedex 01, France.
Department of Digestive Surgery, Seath Nandlal Dhoot Hospital, Aurangabad, India.
Indian J Surg. 2013 Jun;75(Suppl 1):442-5. doi: 10.1007/s12262-012-0774-3. Epub 2012 Dec 9.
Common bile duct neoplastic thrombosis is rare and can cause jaundice in case of gallbladder cancer (GBC). We report the case of a 45-year-old man with GBC located in the fundus associated with a malignant endobiliary thrombus. A surgical procedure has been performed, including segmentectomy 4b+5 with common bile duct resection with Roux-en-Y hepaticojejunostomy. Postoperative courses were uneventful and the patient is alive at 15 months.
胆总管肿瘤性血栓形成较为罕见,在胆囊癌(GBC)患者中可导致黄疸。我们报告一例45岁男性,其胆囊底部患有胆囊癌并伴有恶性胆管内血栓形成。已实施手术,包括4b + 5段切除术、胆总管切除术及Roux-en-Y肝空肠吻合术。术后过程顺利,患者在15个月时仍存活。