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A case of 16-year-old woman with congenital cystic dilatation of the common bile duct and anomalous pancreaticobiliary tract anastomosis was reported. The patient was admitted with chief complaints of recurrent pain in the hypochondrium and fever. No abnormal findings were observed by physical examination and laboratory examination except slight elevation of theurinary amylase level but a cystic dilatation of the common bile duct and dilated hepatic ducts were revealed by a screening ultrasonography. By further examina-tion such as endoscopic retrograde cholangiopancreatography (ERCP) and drip infusion cho-langiography (DIC), thecystic dilatation of the biliary systems and an anomalous pancreati-cobiliary tract anastomosis were confirmed. The dilated common bile duct was resected and the reconstruction of the biliary system was carried out by choledocho-jejunostomy with Roux-en Y fashion. The post-operative course was uneventful and the patient was relieved from the long illness.The authors presented details of this case and discussed about pathtophysiology and treatment of this disease.
一般社団法人国立医療学会の論文