ANOMALOUS ARRANGEMENT OF THE PANCREATICOBILIARY DUCTAL SYSTEM WITHOUT DILATION OF THE BILIARY-TRACT

被引：8

作者：

MURAKAMI, Y

KODAMA, T

TAKESUE, Y

OKITA, M

NAKAMITSU, A

IMAMURA, Y

SEWAKE, H

TSUMURA, H

MIYAMOTO, K

MATSUURA, Y

YOKOYAMA, T

机构：

[1] The First Department of Surgery, Hiroshima University School of Medicine, Hiroshima, 734, 1-2-3 Kasumi, Minamiku

[2] the Department of General Medicine, Hiroshima University School of Medicine, Hiroshima

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1992年 / 22卷 / 03期

关键词：

ANOMALOUS ARRANGEMENT OF THE PANCREATICOBILIARY DUCTAL SYSTEM; MUCOSAL DYSPLASIA OF THE BILIARY DUCT; PANCREATICOBILIARY DUCTAL DIVERSION;

D O I：

10.1007/BF00308836

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A rare case of anomalous arrangement of the pancreaticobiliary ductal system without dilatation, of the biliary tract (AAPBDS without DBT) associated with mucosal dysplasia of the biliary duct is described herein. A 53 year old male with a long history of diarrhea and right upper abdominal pain was diagnosed as having AAPBDS without DBT by endoscopic retrograde cholangiopancreatography and other examinations. Excision of the gallbladder and biliary duct with a Roux-en-Y hepatico-jejunostomy was performed and subsequent pathological examination of the surgical specimens showed mucosal hyperplasia of the gall-bladder and mucosal dysplasia of the biliary duct. Considering the dysplastic changes of the biliary duct as seen in our case, and the high incidence of AAPBDS without DBT developing into carcinoma of the biliary duct, being 12.2 per cent, we suggest that pancreaticobiliary ductal diversion with excision of the gall-bladder and biliary duct should also be performed for AAPBDS without DBT. However, further pathological investigations concerning the excised biliary duct in AAPBDS without DBT will be need to be carried out.

引用

页码：276 / 279

页数：4

共 17 条

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