Schreiber F, Sorantin E, Steindorfer P, Pristautz H, Krejs G J
Medizinische Universitätsklinik Graz.
Z Gastroenterol. 1993 May;31(5):312-4.
The case of an 41 year old female is reported, who underwent surgical correction of a congenital cyst of the common bile duct 17 years ago. Because of repeated pain attacks in the right upper quadrant in connection with fever and serochemical signs of cholestasis the patient was admitted to our unit. The exploration with ERCP and CT now showed a common channel in combination with a congenital cyst of the common bile duct. The risk of the anomalous pancreaticobiliary junction upon either the biliary tract or the pancreatic duct will be discussed, also the fact of an higher incidence of malignant tumors of the biliary system. The therapeutic procedures will be discussed.
报告了一例41岁女性病例,该患者17年前接受了先天性胆总管囊肿的手术矫正。由于右上腹反复疼痛发作并伴有发热及胆汁淤积的血清化学指标,患者入住我院。目前经内镜逆行胰胆管造影(ERCP)和计算机断层扫描(CT)检查显示存在共同通道以及先天性胆总管囊肿。将讨论胰胆管异常汇合对胆道或胰管造成的风险,以及胆道系统恶性肿瘤发病率较高这一事实。还将讨论治疗方法。