Miederer S E, Lindstaedt H, Siedek M, Franken T
Dtsch Med Wochenschr. 1978 Feb 3;103(5):216, 219. doi: 10.1055/s-0028-1104409.
A choledochocele with obstruction to outflow from the biliary and pancreatic duct systems was diagnosed by endoscopic retrograde cholangio-pancreatography in a 67-year-old man with radiating upper-abdominal pain and constantly elevated gamma-glutamyl transferase. After distension of the choledochocele with contrast medium a papillotome was introduced across the papilla and the choledochocele was split open. There were no complications and flow from both systems became normal. The symptoms disappeared and the patient required neither anaesthesia nor an abdominal operation.
一名67岁男性，有上腹部放射性疼痛且γ-谷氨酰转移酶持续升高，经内镜逆行胰胆管造影术诊断为胆总管囊肿伴胆管和胰管系统流出道梗阻。用造影剂使胆总管囊肿扩张后，将乳头切开刀经乳头插入并切开胆总管囊肿。未出现并发症，两个系统的引流均恢复正常。症状消失，患者既无需麻醉也无需接受腹部手术。
