Yamagiwa I, Iwafuchi M, Ohsawa Y, Yagi M, Iinuma Y, Narisawa R
Department of Pediatric Surgery, Niigata University Hospital, Japan.
Jpn J Surg. 1988 Mar;18(2):213-7. doi: 10.1007/BF02471433.
The extrahepatic biliary tract of a male infant, including both the left and right hepatic ducts, was proven to be patent up until his time of death, however, histologic examination of the liver revealed severe fibrosis of the portal areas with ductular proliferation, scattered bile thrombi, and subsequent biliary cirrhosis. In this case, since the obstructive lesion occurred at the secondary branching of the bilateral hepatic duct and because fewer changes were present in the interlobular bile ducts, it seemed possible to consider that the liver histology revealed findings similar to those of extrahepatic biliary atresia.
一名男婴的肝外胆道,包括左右肝管,在其死亡时被证实是通畅的,然而,肝脏的组织学检查显示门管区严重纤维化伴小胆管增生、散在的胆栓形成及随后的胆汁性肝硬化。在这种情况下,由于阻塞性病变发生在双侧肝管的二级分支处,且小叶间胆管的变化较少,似乎可以认为肝脏组织学表现与肝外胆道闭锁的表现相似。