Tekant G A, Joseph V T, Cheah S L
Department of Paediatric Surgery, Singapore General Hospital.
J Pediatr Surg. 1994 May;29(5):594-5. doi: 10.1016/0022-3468(94)90719-6.
A case of congenital tracheobiliary fistula with absent common bile duct is reported. The patient presented with repeated aspiration pneumonia, and the diagnosis was established during bronchoscopy. Excision of the fistula and cholecystoduodenostomy were successful. This is the fourth reported case of its type and the first one to survive surgical treatment. The condition is a rare cause of respiratory distress in neonates and should be considered in the differential diagnosis of intractable aspiration pneumonia.
报告了一例先天性气管胆管瘘合并胆总管缺如的病例。该患者反复出现吸入性肺炎，在支气管镜检查期间确诊。瘘管切除术和胆囊十二指肠吻合术均获成功。这是该类型报道的第四例病例，也是首例经手术治疗存活的病例。这种情况是新生儿呼吸窘迫的罕见原因，在难治性吸入性肺炎的鉴别诊断中应予以考虑。
