[Double extrahepatic bile duct with pancreaticobiliary maljunction:a case report].
Nihon Shokakibyo Gakkai Zasshi
; 121(4): 321-329, 2024.
Article
em Ja
| MEDLINE
| ID: mdl-38599843
ABSTRACT
A 76-year-old woman with a suspected double extrahepatic bile duct was referred to our hospital. MRCP revealed that the left hepatic and posterior ducts combined to form the ventral bile duct and that the anterior duct formed the dorsal bile duct. ERCP demonstrated that the ventral bile duct was linked with the Wirsung duct. Amylase levels in the bile were unusually high. Based on these findings, we diagnosed a double extrahepatic bile duct with pancreaticobiliary maljunction and choledocholithiasis. Duplicate bile duct resection and bile duct jejunal anastomosis were performed considering the risk of biliary cancer due to pancreaticobiliary maljunction. The resected bile duct epithelium demonstrated no atypia or hyperplastic changes.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos do Sistema Biliar
/
Ductos Biliares Extra-Hepáticos
/
Má Junção Pancreaticobiliar
Limite:
Aged
/
Female
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Humans
Idioma:
Ja
Revista:
Nihon Shokakibyo Gakkai Zasshi
Ano de publicação:
2024
Tipo de documento:
Article