Loria L E, Yamamoto K, Eto T, Tomioka T, Miyamoto T, Mochinaga N, Tsuchiya R
Second Department of Surgery, Nagasaki University School of Medicine, Japan.
Jpn J Surg. 1988 Nov;18(6):718-24. doi: 10.1007/BF02471536.
A 39 year-old Japanese female patient with a duplication of the distal portion of the common bile duct is presented herein. Moreover, an abnormal arrangement of the pancreaticobiliary ductal union, congenital biliary dilatation and carcinoma of the gallbladder were all demonstrated by cholangiographic and endoscopical studies. The patient underwent radical surgery for advanced adenosquamous carcinoma of the gallbladder, and her postoperative course was satisfactory. A reflux of pancreatic juice into the bile duct was demonstrated, but it was eliminated and considered to be a contributory etiologic factor of the gallbladder carcinoma.
本文介绍了一名39岁的日本女性患者，其胆总管远端存在重复畸形。此外，通过胆管造影和内镜检查证实了胰胆管联合的异常排列、先天性胆管扩张和胆囊癌。该患者接受了胆囊晚期腺鳞癌的根治性手术，术后恢复过程顺利。虽然发现有胰液反流至胆管，但这种反流已消除，且被认为是胆囊癌的一个促成病因。
