Kato O, Hattori K, Suzuki T, Tachino F, Yuasa T
Gastrointest Endosc. 1983 May;29(2):94-8. doi: 10.1016/s0016-5107(83)72539-3.
Anomalous pancreaticobiliary union was found in nine cases among 300 consecutive adult patients examined by endoscopic retrograde cholangiopancreatography. Three had congenital choledochal cysts: one had a cyst of the choledochus associated with a cyst of the intrahepatic bile duct, another had a fusiform dilation of the choledochus, and the third had a choledochal diverticulum. Five of the nine patients had biliary malignancies (55.6%): four carcinomas of the gallbladder and one carcinoma of the choledochus. On the other hand, 18 of 291 patients without anomalous pancreaticobiliary union had biliary malignancies (6.2%): four carcinomas of the gallbladder and 14 carcinomas of the choledochus. When anomalous pancreaticobiliary union is detected, biliary malignancy, especially carcinoma of the gallbladder, should be considered as a possible complication.
在300例接受内镜逆行胰胆管造影检查的成年患者中，发现9例存在胰胆管异常合流。其中3例患有先天性胆总管囊肿：1例胆总管囊肿合并肝内胆管囊肿，另1例胆总管呈梭形扩张，第3例为胆总管憩室。9例患者中有5例发生胆道恶性肿瘤（55.6%）：4例胆囊癌和1例胆总管癌。另一方面，291例无胰胆管异常合流的患者中有18例发生胆道恶性肿瘤（6.2%）：4例胆囊癌和14例胆总管癌。当检测到胰胆管异常合流时，应考虑胆道恶性肿瘤，尤其是胆囊癌，可能是一种并发症。
