A Case of Congenital Biliary Dilatation Connected with Santorini's Duct
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概要
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A case of congenital biliary dilatation connected with Santorini's duct is presented. A 56year-old female was admitted to our hospital for the further examination of biliary tract recommended by a home doctor. Congenital biliary dilatation with stones was diagnosed by ERCP and US. Wirsungography revealed Santorini's duct connected with dilatated biliary tract by a connecting duct.<BR>In the pancrcaticography from the accessory papilla, the bile duct was demonstrated through the connecting duct from Santorini's duct, followed by Wirsung's duct. Annomalous union of pancreaticobiliary duct has been thought embryologically to arise from malformation of ventral pancreas and biliary tract before fusion of ventral and dorsal pancreas.<BR>In this theory, Santorini's duct cannot be connected with choledocal cyst with annomalous union of pancreaticobiliary duct. From the point of view, the connecting duct in our case may be inferred to be not a part of Santorini's duct but a terminal portion of elongated Wirsung's duct.
- Japan Biliary Associationの論文
Japan Biliary Association | 論文
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