左肝管内索状隔壁を伴った先天性肝内・外胆管拡張症の1手術例

概要

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A 17 year old female was admitted for occasional pain in the quadrant, initially noted at 9 years of age. At one month prior to admission, she had the same pain. By ERCP, a cystic dilatation of the extrahepatic bile duct was found extending up to the right and left hepatic duct with a stricture at the bifurcation. A large narrow segment was found in the distal bile duct with a junctional abnormality to the pancreatic duct. After removal of the cystic bile duct and gall bladder, a band like fibrous bridge was found in the distal part of the left main hepatic duel with stricture. After removal of this band, hepaticojejunostomy was performed. The postoperative course was uneventful. The specimen of the removed cystic bile duct was 8 x 3.8cm in size without any malignant change.
日本小児外科学会の論文
1980-10-20