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Accessory bile duct: a rare but important anatomical variant.副胆管：一种罕见但重要的解剖变异。
BMJ Case Rep. 2018 Jun 17;2018:bcr-2018-225133. doi: 10.1136/bcr-2018-225133.
2
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本文引用的文献

1
A case of double common bile duct in a deceased donor for transplantation.一例用于移植的已故供体双胆总管病例。
Surg Radiol Anat. 2017 Dec;39(12):1409-1411. doi: 10.1007/s00276-017-1874-3. Epub 2017 May 18.
2
Common bile duct duplication: the more the murkier.胆总管重复畸形：情况越复杂越模糊不清。
Saudi J Gastroenterol. 2015 Jan-Feb;21(1):51-4. doi: 10.4103/1319-3767.151231.
3
Management of bile duct injuries combined with accessory hepatic duct during laparoscopic cholecystectomy.腹腔镜胆囊切除术期间合并副肝管的胆管损伤的处理
World J Gastroenterol. 2014 Sep 14;20(34):12363-6. doi: 10.3748/wjg.v20.i34.12363.
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Embryology of the biliary tract.胆道胚胎学。
Dig Surg. 2010;27(2):87-9. doi: 10.1159/000286463. Epub 2010 Jun 10.
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Double common bile duct: a case report.双胆总管：一例报告。
World J Gastroenterol. 2007 Jul 21;13(27):3770-2. doi: 10.3748/wjg.v13.i27.3770.
6
Double common bile duct: a case report and a review of the Japanese literature.双胆总管：一例病例报告及日本文献综述
Surgery. 2002 Jun;131(6):676-81. doi: 10.1067/msy.2002.124025.
7
A variant of an accessory common bile duct.副肝总管的一种变异型。
Endoscopy. 2000 Sep;32(9):728-30. doi: 10.1055/s-2000-7033.
8
Anomalies of the biliary tree. Report of a repair of an accessory bile duct and review of the literature.
Arch Surg. 1972 Mar;104(3):302-9. doi: 10.1001/archsurg.1972.04180030050012.
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Accessory bile duct draining into the stomach: case report and review.引流至胃的副胆管：病例报告及文献复习
Gastrointest Radiol. 1992 Winter;17(1):27-30. doi: 10.1007/BF01888503.

副胆管：一种罕见但重要的解剖变异。

Accessory bile duct: a rare but important anatomical variant.

作者信息

Casabianca Anthony S, Shah Mihir M, Carpizo Darren

机构信息

Department of General Surgery, Rutgers Robert Wood Johnson Medical School New Brunswick, New Brunswick, New Jersey, USA.

Department of Surgical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.

出版信息

BMJ Case Rep. 2018 Jun 17;2018:bcr-2018-225133. doi: 10.1136/bcr-2018-225133.

DOI:10.1136/bcr-2018-225133
PMID:29914904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6011491/
Abstract

An 84-year-old man presented with pancreatic adenocarcinoma. Following neoadjuvant chemoradiation, the patient underwent a pancreaticoduodenectomy, complicated by early bile leak. Re-exploration and intraoperative cholangiogram identified an accessory common bile duct draining segment 5 of the right hepatic lobe, which was then ligated. The patient underwent a complicated postoperative course eventually developing sepsis secondary to biliary stasis. He elected for comfort measures and passed away secondary to complications of sepsis.

摘要

一名84岁男性被诊断为胰腺腺癌。在接受新辅助放化疗后，患者接受了胰十二指肠切除术，术后出现早期胆漏并发症。再次手术探查及术中胆管造影发现一条引流右肝叶5段的副肝管，随后予以结扎。患者术后病程复杂，最终因胆道淤积继发脓毒症。他选择了姑息治疗措施，最终因脓毒症并发症去世。