総胆管嚢腫の1例

概要

論文の詳細を見る
A 15-year-old female was admitted with an attack of recurrent coliky pain in the right upper abdominal quadrant. The physical examination revealed an upper abdominal tumor, and the laboratory findings showed impaired liver function associated with obstructive jaundice. Several diagnostic procedures such as upper gastrointestinal series, selective celiac angiography, abdominal echogram, liver scintiscanning and laparoscopy were done for the purpose of differential diagnosis of the upper abdominal tumor. After these examinations, the clinical diagnosis was made as a case of congenital choledochal cyst, and the surgical treatment was recommended. The most useful procedure of the diagnosis was ^<131>I rose bengal liver scintiscanning test. The cholangiography during the operation disclosed another cystic lesion in the intrahepatic biliary tract. Cholecystectomy and choledocho-jejunostomy were performed. The postoperative course has been uneventful, and the liver function tests have been normal. The problem of diagnostic procedures of upper abdominal tumors was briefly discussed.
北里大学の論文
1974-10-31