[双肝外胆管与胰胆管连接不良：病例报告]。

Q4 Medicine Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI:10.11405/nisshoshi.121.321

Yuki Mori, Hiroyuki Hasegawa, Mitsuharu Fukasawa, Shinichi Takano, Hiroko Shindo, Ei Takahashi, Naruki Shimamura, Naohiro Hosomura, Hiromitsu Kawaida, Nobuyuki Enomoto

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摘要

一名 76 岁的妇女疑似患有双肝外胆管，被转诊到我院。MRCP 显示，左肝管和后胆管合并形成腹侧胆管，前胆管形成背侧胆管。ERCP显示腹侧胆管与Wirsung管相连。胆汁中的淀粉酶水平异常高。根据这些发现，我们诊断为双肝外胆管胰胆管连接不良和胆总管结石。考虑到胰胆管连接不良导致胆管癌的风险，我们进行了双胆管切除和胆管空肠吻合术。切除的胆管上皮未见不典型性或增生性改变。

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[Double extrahepatic bile duct with pancreaticobiliary maljunction:a case report].

A 76-year-old woman with a suspected double extrahepatic bile duct was referred to our hospital. MRCP revealed that the left hepatic and posterior ducts combined to form the ventral bile duct and that the anterior duct formed the dorsal bile duct. ERCP demonstrated that the ventral bile duct was linked with the Wirsung duct. Amylase levels in the bile were unusually high. Based on these findings, we diagnosed a double extrahepatic bile duct with pancreaticobiliary maljunction and choledocholithiasis. Duplicate bile duct resection and bile duct jejunal anastomosis were performed considering the risk of biliary cancer due to pancreaticobiliary maljunction. The resected bile duct epithelium demonstrated no atypia or hyperplastic changes.

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来源期刊

Japanese Journal of Gastroenterology Medicine-Gastroenterology

CiteScore

0.20

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0.00%

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期刊介绍： The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.