Imai S, Uchiyama S, Suzuki T, Arita A, Yoshida K, Kodama H, Sato T, Akimaru K, Shibuya T, Kameda H
Department of Surgery, Tokyu Hospital, Tokyo, Japan.
J Gastroenterol. 1995 Aug;30(4):547-50. doi: 10.1007/BF02347577.
A very rare case of adenomyoma of the common hepatic duct is described. A 54-year-old woman was admitted with impending obstructive jaundice secondary to adenomyoma of the common hepatic duct. Our impression, formulated from her clinical presentation, endoscopic investigations, and biochemical and radiological findings, was a cancer of the proximal common hepatic duct. The patient was treated successfully by combination surgical resection and hepaticojejunostomy. Despite our obtaining an intraoperative frozen section, final histological examination was required to confirm the diagnosis. The patient remains well 16 months postoperatively. A survey of the world literature revealed that this is the second report of adenomyoma occurring in the common hepatic duct.
本文描述了一例非常罕见的肝总管腺肌瘤病例。一名54岁女性因肝总管腺肌瘤继发即将出现的梗阻性黄疸入院。根据其临床表现、内镜检查以及生化和影像学检查结果，我们初步诊断为肝总管近端癌。该患者通过手术切除联合肝管空肠吻合术获得成功治疗。尽管我们术中进行了冰冻切片检查，但最终仍需组织学检查来确诊。患者术后16个月情况良好。对世界文献的检索发现，这是关于肝总管腺肌瘤的第二篇报道。
