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肝总管憩室导致梗阻性黄疸一例报告

Diverticulum of common hepatic duct leading to obstructive jaundice, a case report.

作者信息

Tarallo Nicola, Curti Marco, Molinelli Valeria, Leonardi Anna, Fugazzola Carlo

机构信息

Department of Diagnostic and Interventional Radiology, University of Insubria, Varese, Italy.

出版信息

BJR Case Rep. 2019 Jan 4;5(2):20180105. doi: 10.1259/bjrcr.20180105. eCollection 2019 Jun.

Abstract

Choledochal cyst is a dilation of the intrahepatic and/or extrahepatic biliary tree. The pathogenesis is unknown and potentially is multifactorial. In 1977, Todani classified the cysts under five different types according to their morphology, number and distribution along the biliary tree. Presenting symptoms of Choledocal cysts which include upper abdominal pain, acute cholangitis and jaundice, although often they are clinically silent and discovered as an incidental finding. Biliary complications include cholangitis, biliary stones, pancreatitis, portal hypertension and cholangiocarcinoma. We describe a case of a rare Type II Todani cyst located on the right side of the common hepatic duct characterised by a clinical presentation similar to that observed in Mirizzi Syndrome. The treatment of a Type II choledochal cyst consists in cystic excision.

摘要

胆总管囊肿是肝内和/或肝外胆管树的扩张。其发病机制尚不清楚,可能是多因素的。1977年,Todani根据囊肿的形态、数量和沿胆管树的分布将其分为五种不同类型。胆总管囊肿的表现症状包括上腹部疼痛、急性胆管炎和黄疸,不过它们通常在临床上并无症状,而是作为偶然发现被检测到。胆道并发症包括胆管炎、胆结石、胰腺炎、门静脉高压和胆管癌。我们描述了一例罕见的位于肝总管右侧的Todani II型囊肿病例,其临床表现与Mirizzi综合征相似。Todani II型胆总管囊肿的治疗方法是囊肿切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d4d/6726181/c53c47c590ca/bjrcr.20180105.g001.jpg

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