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.
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.
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。
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