乳児期の嚢腫十二指腸吻合術後に胆道拡張症として経過観察されていた膵管胆道合流異常症例 : I-cyst 型胆道閉鎖症か?

概要

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A female patient was diagnosed as having obstructive jaundice and underwent choledochocystoduodenostomy at the age of 45 days. Macroscopic biliary cirrhosis was observed. Liver biopsy and operative cholangiography were not performed. Postoperatively, she was free from jaundice but had ascending cholangitis frequently. When she was 9 years old, she was diagnosed as having portal hypertension and received detailed examinations. Cholangiography revealed pancreaticobiliary maljunction, the presence of distal bile duct and an abnormal finding of intrahepatic bile duct. The presence of remnant choledochal cyst was not clearly identified. Liver biopsy revealed the finding of mild hepatic fibrosis. It was impossible to determine whether she had choledochal cyst or biliary atresia.
日本小児外科学会の論文
1992-08-20