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一名腹痛儿童的罕见胆总管囊肿

A Rare Choledochal Cyst in a Child With Abdominal Pain.

作者信息

Laney James R, Oelsner William K, Mims Andrew, Igbinedion Samuel

机构信息

Internal Medicine, University of Tennessee Health Science Center College of Medicine - Chattanooga, Chattanooga, USA.

Gastroenterology and Hepatology, University of Tennessee Health Science Center College of Medicine - Chattanooga, Chattanooga, USA.

出版信息

Cureus. 2025 Apr 15;17(4):e82324. doi: 10.7759/cureus.82324. eCollection 2025 Apr.

Abstract

Choledochal cysts are rare anatomical anomalies of the biliary tree. These lesions possess a risk for future development of catastrophic malignancy in the form of cholangiocarcinoma if left unaddressed, which is associated with a high mortality rate in cases of malignant transformation. The presenting symptoms of choledochal cysts are often nonspecific. The age of the initial onset of symptoms can vary, and some patients with choledochal cysts do not receive a diagnosis until reaching adulthood. Here, we present a case that serves as an example of early detection of this rare clinical finding for potentially devastating malignancy in a child who presented with nonspecific symptoms.

摘要

胆管囊肿是胆管树罕见的解剖学异常。如果不加以处理,这些病变有发展为胆管癌这一灾难性恶性肿瘤的风险,而胆管癌在恶性转化病例中死亡率很高。胆管囊肿的临床表现往往不具有特异性。症状首次出现的年龄各不相同,一些胆管囊肿患者直到成年才被诊断出来。在此,我们报告一例,该病例是一名出现非特异性症状的儿童早期发现这种罕见临床病症以预防潜在毁灭性恶性肿瘤的实例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f18/12081121/44e3b6e9185f/cureus-0017-00000082324-i01.jpg

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