Kochhar R, Nagi B, Chawla S, Das K, Rao K L, Mitra S K, Mehta S K
Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Surg Endosc. 1989;3(2):83-6. doi: 10.1007/BF00590906.
Anomalous junction of pancreatobiliary ducts (AJPB) is known to be associated with choledochal cyst and gallbladder cancer. This report describes our experience with eight patients with AJPB, six of whom were diagnosed at endoscopic retrograde cholangiography and two at transhepatic cholangiography. Four of the patients with AJPB had an associated congenital choledochal cyst, two had a normal biliary tree and one each had inspissated bile syndrome and cholangiocarcinoma. The last two associations have not been previously described. It is felt that the clinical spectrum of AJPB may unfold further with the widespread use of the cholangiographic techniques.
胰胆管异常连接(AJPB)已知与胆总管囊肿和胆囊癌有关。本报告描述了我们对8例AJPB患者的诊治经验,其中6例在内镜逆行胆管造影时被诊断,2例在经皮肝穿刺胆管造影时被诊断。4例AJPB患者合并先天性胆总管囊肿,2例胆管树正常,1例分别患有胆汁浓缩综合征和胆管癌。后两种关联此前未见报道。随着胆管造影技术的广泛应用,AJPB的临床谱可能会进一步展现。