Riccabona M, Sauer H, Schimpl G
Universitäts-Kinderklinik, Graz.
Monatsschr Kinderheilkd. 1993 Aug;141(8):648-50.
We present a case of congenital choledochal cyst with late aggravation after an abdominal trauma, which needed surgical resection of the cyst and cholecystectomy followed by hepato-digestive porto-jejunal anastomosis. This case shows, that inspite of minimal changes in the beginning later aggravation-for example after trauma-can be observed. Sonography is a noninvasive, non-ironising method and appears to be adequate for diagnosis and pre- and postoperative monitoring, but can not replace endoscopic, retrograde-choledochopancreaticography.
我们报告一例先天性胆总管囊肿患者，其在腹部外伤后病情出现晚期加重，需要进行囊肿手术切除和胆囊切除术，随后进行肝-消化管-空肠吻合术。该病例表明，尽管起初变化微小，但后期例如外伤后仍可出现病情加重。超声检查是一种非侵入性、无辐射的方法，似乎足以用于诊断以及术前和术后监测，但不能替代内镜逆行胰胆管造影。
