Çamlıdağ İlkay, Nural Mehmet Selim, Danacı Murat, Karabıçak İlhan, Karabulut Kağan
Department of Radiology, Ondokuz Mayıs University, Kurupelit, 55139 Samsun, Turkey.
Department of General Surgery, Ondokuz Mayıs University, Kurupelit, 55139 Samsun, Turkey.
Case Rep Radiol. 2015;2015:625715. doi: 10.1155/2015/625715. Epub 2015 Dec 15.
Cystic dilatations of the cystic duct which are suggested as type VI biliary cysts are very rare and many of them go unrecognized or are confused with other cysts until the operation although they are obvious on imaging studies. They can present with fusiform or saccular dilatations and can be accompanied by common bile duct dilatations. It is important to identify these cysts as they share the same characteristics as the other biliary cyst types and can be complicated with malignancy. We herein present a very unusual case of a cholangiocarcinoma arising from a type VI biliary cyst in a 58-year-old female patient and review the literature. The patient presented with jaundice, weight loss, and abdominal pain. On imaging, the cystic duct and common bile duct were fusiformly dilated and had a wide communication. There was a mass filling the distal parts of both ducts. The patient was urgently operated on after perforation following ERCP. Histopathology was compatible with a type VI biliary cyst and an associated cholangiocarcinoma.
被认为是VI型胆管囊肿的胆囊管囊状扩张非常罕见，其中许多在手术前未被识别或与其他囊肿混淆，尽管它们在影像学检查中很明显。它们可表现为梭形或囊状扩张，并可伴有胆总管扩张。识别这些囊肿很重要，因为它们与其他类型的胆管囊肿具有相同的特征，并且可能并发恶性肿瘤。我们在此报告一例非常罕见的病例，一名58岁女性患者的VI型胆管囊肿发生胆管癌，并对文献进行复习。患者表现为黄疸、体重减轻和腹痛。影像学检查显示，胆囊管和胆总管呈梭形扩张，且有广泛的连通。两个管道的远端有一个肿块。患者在ERCP后穿孔，紧急接受手术。组织病理学检查结果符合VI型胆管囊肿及相关胆管癌。
