婴儿胆总管囊肿破裂伴肝内假性囊肿，类似肝间叶性错构瘤。

Choledochal cyst rupture with an intrahepatic pseudocyst mimicking hepatic mesenchymal hamartoma in an infant.

作者信息

Chang Min-Yung, Kim Myung-Joon, Han Seok Joo, Kim Hye Min, Lee Mi-Jung

机构信息

Department of Radiology and Research Institute of Radiological Science, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea 120-752.

Department of Pediatric Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea 120-752.

出版信息

Clin Imaging. 2015 Sep-Oct;39(5):914-6. doi: 10.1016/j.clinimag.2015.04.016. Epub 2015 May 7.

DOI:10.1016/j.clinimag.2015.04.016

PMID:25986162

Abstract

Spontaneous choledochal cyst rupture and consequent biliary peritonitis are rare in children. Here, we report a unique case of intrahepatic bile duct rupture of choledochal cyst type IV that resulted in loculated biliary peritonitis with an intrahepatic pseudocyst mimicking a hepatic mesenchymal hamartoma in a 3-month-old boy. Magnetic resonance cholangiopancreatography can help differentiate these conditions. Regardless of the location, pseudocysts resulting from biliary peritonitis should be considered in cases of choledochal cysts with adjacent fluid collection or cystic lesions.

摘要

自发性胆总管囊肿破裂及随之而来的胆汁性腹膜炎在儿童中较为罕见。在此，我们报告一例独特的IV型胆总管囊肿肝内胆管破裂病例，该病例导致一名3个月大男婴出现局限性胆汁性腹膜炎，并伴有一个酷似肝间叶性错构瘤的肝内假性囊肿。磁共振胰胆管造影有助于鉴别这些情况。无论位置如何，对于伴有相邻液性聚集或囊性病变的胆总管囊肿病例，均应考虑胆汁性腹膜炎所致的假性囊肿。