Furuhashi Satoshi, Takamori Hiroshi, Nakahara Osamu, Ikuta Yoshiaki, Tanaka Hiroshi, Horino Kei, Baba Hideo
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Clin J Gastroenterol. 2013 Aug;6(4):326-8. doi: 10.1007/s12328-013-0389-7. Epub 2013 Jun 8.
Choledochal cysts are uncommon conditions, usually diagnosed during childhood, but rarely during pregnancy. Choledochal cysts during pregnancy carry several risks, including development of biliary tract cancer and peritonitis due to rupture of dilated cysts induced by pregnancy itself. We present here a case of choledochal cyst during pregnancy, and discuss appropriate treatments for choledochal cysts first presenting during pregnancy. A 25-year-old primigravida at 15 weeks' gestation was admitted to our hospital with abdominal pain. Magnetic resonance cholangiopancreatography diagnosed a type 1 choledochal cyst without a mass lesion. A healthy baby arrived without complication at 38 weeks' gestation. The patient underwent cholecystectomy and choledochal cyst excision. The postoperative course was uneventful with discharge on day 8. Pathological examination diagnosed no malignant feature. Surgery may be performed after delivery for choledochal cysts first presenting during pregnancy, and monitoring with magnetic resonance imaging, blood tests, and ultrasonography is necessary during observation.
胆总管囊肿是一种罕见疾病，通常在儿童期被诊断出来，但在孕期很少见。孕期胆总管囊肿存在多种风险，包括胆管癌的发生以及因孕期自身导致扩张囊肿破裂引发的腹膜炎。我们在此呈现一例孕期胆总管囊肿病例，并讨论孕期首次出现的胆总管囊肿的合适治疗方法。一名孕15周的25岁初产妇因腹痛入院。磁共振胰胆管造影诊断为1型胆总管囊肿，无肿块病变。孕38周时顺利产下一名健康婴儿，无并发症。患者接受了胆囊切除术和胆总管囊肿切除术。术后恢复顺利，于第8天出院。病理检查未发现恶性特征。对于孕期首次出现的胆总管囊肿，可在分娩后进行手术，观察期间需通过磁共振成像、血液检查和超声检查进行监测。
