Ackerholm P, Benediktsdottir K, Lundell L, Thulin A
Acta Chir Scand. 1981;147(7):605-7.
A 15-year-old girl with multiple intra- and extrahepatic biliary cysts is presented. At a primary laparotomy a massive dilatation of the choledochal duct was found and a choledochocysto-duodenostomy was made. Initially the patient recovered but 1 1/2 years later a mass reappeared under the right costal arch. At a second laparotomy multiple neoplastic changes were found on the right and left liver lobes. Histologic examination of biopsies from the liver showed the picture of a cholangiocarcinoma.
本文报告了一名15岁患有多发性肝内和肝外胆管囊肿的女孩。在初次剖腹手术中发现胆总管巨大扩张，并进行了胆总管囊肿十二指肠吻合术。最初患者恢复良好，但1年半后右肋弓下再次出现肿块。在第二次剖腹手术中，发现左右肝叶有多处肿瘤性改变。肝脏活检的组织学检查显示为胆管癌的图像。
