Krepel H P, Siersema P D, Tilanus H W, Laméris J S, Nix G A, van der Kwast T H, van Blankenstein M
Department of Internal Medicine, University Hospital Dijkzigt, Rotterdam, The Netherlands.
Eur J Gastroenterol Hepatol. 1997 Jun;9(6):641-3. doi: 10.1097/00042737-199706000-00022.
A 31-year-old man presented with abdominal pain and iron deficiency anaemia due to gastrointestinal blood loss. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a choledochocele, located between the ampullary sphincter and the sphincters of the common bile duct and pancreatic duct. The choledochocele was removed surgically and appeared to be covered with duodenal mucosa. Gastrointestinal blood loss is explained by the extensive erosions found in the duodenal mucosa of the choledochocele. Choledochoceles should be treated by radical resection.
一名31岁男性因胃肠道失血出现腹痛和缺铁性贫血。内镜逆行胰胆管造影（ERCP）显示一个胆总管囊肿，位于壶腹括约肌与胆总管和胰管括约肌之间。该胆总管囊肿经手术切除，表面似乎覆盖有十二指肠黏膜。胆总管囊肿十二指肠黏膜广泛糜烂可解释胃肠道失血。胆总管囊肿应行根治性切除术。
