胆石総胆管結石を合併した多脾症候群・十二指腸前門脈総胆管・左側胆嚢の1例

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  • A case of polysplenia syndrome and preduodenal portal vein/ common bile duct with choledocholithiasis

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Polysplenia syndrome is a very rare congenital disease to complicated major cardiovascular anomalies with severe cyanosis and visceral heterotaxia, in almost cases. We reported a case of choledocholithiasis with polysplenia syndrome and preduodenal portal vein and common bile duct in Tetralogy of Fallot (T/F) postoperative 16 years. In May,2000, a 56 years old woman was admitted to our hospital, because of epigastralgia after meal. Past operation histories were Blalock-Taussig operation in 34 years ago and radical operation in 16 years ago for T/F. And there were several times hospitalization for heart failure treatment. As a result of inspection after hospitalization, polysplenia, the absence of the hepatic portion of the inferior vena cava and azygos continuation of right IVC, the left-side gall bladder, intestinal malrotation, preduodenal portal vein and common bile duct were pointed out. After evaluation of a careful cardio-pulmonary function, operation was performed. We confirmed the above-mentioned anomalies and cholecystectomy and choledocholithotomy were enforced. In postoperative 14 days, she discharged uneventfully.

収録刊行物

  • Tando

    Tando 20 (2), 204-212, 2006

    Japan Biliary Association

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