Arase Yoshitaka, Deguchi Ryuzo, Tsukune Yoko, Dekiden Makiko, Shiraishi Koichi, Ogimi Takashi, Miyakita Hiroshi, Shimada Hideo, Myoujin Kazunori, Mine Tetsuya
Department of Gastroenterology, Tokai University Oiso Hospital, 21-1 Gakkyo, Oisomachi, Nakagun, Kanagawa 259-0198, Japan.
Tokai J Exp Clin Med. 2016 Sep 20;41(3):108-11.
The case of a patient with asymptomatic double common bile duct that was identified by chance is presented. A 41-year-old man underwent esophagogastroduodenoscopy(EGD) as part of a regular health checkup, during which he was found to have an elevated lesion in the lesser curvature of the upper gastric corpus with bile draining from its tip. Further examination led to a diagnosis of double common bile duct from the left intrahepatic bile duct to the opening into the stomach. Morphological abnormalities of the biliary tree are commonly encountered in everyday gastroenterological practice, but a double common bile duct with an ectopic opening into the stomach is comparatively rare. It is also associated with an increased risk of developing cancer of the stomach or bile duct, and as such is a biliary abnormality that must be treated with caution. This case is reported together with a discussion of the literature.
本文报告了一例偶然发现的无症状双胆总管病例。一名41岁男性在常规健康检查中接受了食管胃十二指肠镜检查（EGD），在此期间发现胃体上部小弯处有一个隆起性病变，其顶端有胆汁引流。进一步检查诊断为从左肝内胆管到胃开口处的双胆总管。胆道树的形态异常在日常胃肠病学实践中很常见，但胃内有异位开口的双胆总管相对少见。它还与患胃癌或胆管癌的风险增加有关，因此是一种必须谨慎处理的胆道异常。本文报告了该病例并对相关文献进行了讨论。
