Jaubert de Beaujeu M, Bonjean J A, Brusq A
Chir Pediatr. 1979;20(5):325-31.
Two cases of cystic dilatation of the common bile duct associated which acute pancreatitis are presented. The correct diagnosis is not made often, because the triad of symptoms is incomplete or the recurrent abdominal pain is not attributed to pancreas, in absence of determination of serum amylase. Frequently, has been noted an anomalous formation of the pancreaticobilary ducts and always a reflux in the duct of Wirsung. Also, it is suggested, whatever the procedure of anastomosis may be, to close the inferior part of common bile duct.
本文报告了两例与急性胰腺炎相关的胆总管囊性扩张病例。由于症状三联征不完整,或在未测定血清淀粉酶的情况下,反复出现的腹痛未归因于胰腺,因此常无法做出正确诊断。经常会发现胰胆管的异常形成,并且在主胰管中总是存在反流。此外,无论吻合手术方式如何,建议关闭胆总管下部。