Double Common Bile Duct With Pancreaticobiliary Maljunction Diagnosed Preoperatively: A Case Report

Tanaka Tomoko, Fumino Shigehisa, Maniwa Junnosuke, Sakai Kohei, Higashi Mayumi, Aoi Shigeyoshi, Furukawa Taizo, Tajiri Tatsuro

doi:10.11164/jjsps.53.7_1293

Bibliographic Information

Other Title

術前MRCPにて画像診断し得た重複胆管を伴った膵・胆管合流異常の1例
症例報告術前MRCPにて画像診断し得た重複胆管を伴った膵・胆管合流異常の1例
ショウレイホウコクジュツゼン MRCP ニテガゾウシンダンシエタチョウフクタンカンオトモナッタスイ・タンカンゴウリュウイジョウノ 1レイ

Search this article

Description

<p>Double common bile duct is an extremely rare anomaly, in which 2 common bile ducts exist. We encountered a case of a 2-year-old girl with double common bile duct associated with pancreaticobiliary maljunction, which was diagnosed preoperatively. Firstly, she complained of abdominal pain with vomiting and presented with hyperamylasemia. She was transferred to our hospital with the diagnosis of choledochal cyst. MRCP and DIC-CT revealed double common bile duct associated with atypical pancreaticobiliary maljunction. Intraoperative cholangiography was carried out to confirm the details of the anatomy of the extrahepatic bile duct. The accessory common bile duct branched from the right hepatic duct and joined the main pancreatic duct. We performed a diversion surgery via resection of the extrahepatic bile duct, including the accessory common bile duct. The postoperative course was satisfactory. Careful preoperative imaging tests enabled safe operation with an appropriate margin for extrahepatic bile duct resection.</p>

Journal

Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 53 (7), 1293-1297, 2017

The Japanese Society of Pediatric Surgeons

Keywords

Details 詳細情報について

Export

Report a problem