Takii Y, Shirai Y, Kanehara H, Hatakeyama K
First Department of Surgery, Niigata University School of Medicine, Japan.
Surg Today. 1994;24(12):1104-6. doi: 10.1007/BF01367466.
We present herein the case of a 34-year-old man in whom obstructive jaundice was found to be caused by an impacted detached cholesterol polyp. A cholecystectomy with exploration of the common bile duct was performed after ultrasonography showed cholesterol polyps and stones in the gallbladder. Intraoperative cholangioscopy demonstrated an impacted cholesterol polyp at the distal end of the common bile duct which appeared to be detached from the gallbladder. To our knowledge, this is the first report of an impacted detached cholesterol polyp causing obstructive jaundice.
我们在此报告一例34岁男性患者，其梗阻性黄疸是由一枚嵌顿的游离胆固醇息肉所致。超声检查显示胆囊内有胆固醇息肉和结石后，实施了胆囊切除术并探查胆总管。术中胆管镜检查发现胆总管远端有一枚嵌顿的胆固醇息肉，似乎是从胆囊上脱落下来的。据我们所知，这是关于嵌顿的游离胆固醇息肉导致梗阻性黄疸的首例报告。
