Ishizaki Y, Bandai Y K, Shimomura K, Shimada K, Itoh T, Idezuki Y
Second Department of Surgery, Faculty of Medicine, University of Tokyo, Japan.
Hepatogastroenterology. 1993 Jun;40(3):294-6.
A case of primary sclerosing cholangitis (PSC) localized in an isolated segment of the intrapancreatic bile duct was successfully treated by a pancreatico-duodenectomy. Although a progressively larger number of patients with PSC have recently been reported, there have been no other reports of a patient with this disease confined to the very distal part of the common bile duct. Since it is difficult to differentiate this rare disease from malignancy, surgical treatment as for a malignancy is sometimes required.
一例局限于胰内胆管孤立节段的原发性硬化性胆管炎(PSC)患者通过胰十二指肠切除术成功治愈。尽管最近报道的PSC患者数量越来越多,但尚无其他关于该疾病局限于胆总管最远端的患者的报道。由于很难将这种罕见疾病与恶性肿瘤区分开来,有时需要采取针对恶性肿瘤的手术治疗。