Perforated bile duct in a case of acute pancreatitis associated with pancreaticobiliary maljunction.
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概要
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A 1 year and 5 month-old male was admitted because of pancreatitis. US and CT showed a swollen pancreas and ascites. Although conservative therapy decreased the serum amylase value, jaundice and abdominal distension appeared. The fluid obtained by intraabdominal puncture revealed bile juice. Emergent operative findings disclosed a perforated bile duct on the upper of the pancreas and T-tube drainage was carried out. Cholangiography conducted via the T-tube showed cylinderical dilatation of the common bile duct and pancreaticobiliary maljunction. Cholecystectomy, choledochus duct excison and hepaticojejunostomy were performed. Physicians should consider pancreaticobiliary maljunction as a cause of pancreatitis and obstructive jaundice, and recognize that perforation of the bile duct can be associated with this condition. Key words: pancreatitis, pancreaticobiliary maljunction.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
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