A case of the extrahepatic bile duct carcinoma combined with situs inversus and preduodenal portal vein

DOI 1 Citations
  • KOHARA Norihiro
    Second Department of Surgery, Nagasaki University School of Mdicine
  • MOTOSHIMA Koichi
    Second Department of Surgery, Nagasaki University School of Mdicine
  • MORI Nobuharu
    Second Department of Surgery, Nagasaki University School of Mdicine
  • MIZUTA Kazumasa
    Second Department of Surgery, Nagasaki University School of Mdicine
  • TERADA Masazumi
    Second Department of Surgery, Nagasaki University School of Mdicine
  • TSUNODA Tsukasa
    Second Department of Surgery, Nagasaki University School of Mdicine
  • TSUCHIYA Ryoichi
    Second Department of Surgery, Nagasaki University School of Mdicine
  • YAMADA Yumiko
    Second Department of Internal Medicine, Nagasaki University School of Medicine
  • MURATA Ikuo
    Second Department of Internal Medicine, Nagasaki University School of Medicine

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Other Title
  • 全内臓逆位症,前十二指腸門脈に合併した肝門部胆管癌の1例

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Description

A 62 years old woman was admitted to our hospital complaining of jaundice and general fatigue. Chest and abdominal X-ray findings showed situs inversus totalis.<BR>US and CT showed tumor shadow at the hepatic hilum, dilatati n of bilateral intrahepatic bile duct and preduodenal portal vein. Stenosis of the extrahepatic bile duct and shortened common bile duct was observed by ERCP and PTC. Preoperative PTCD was performed and cystologic examination of the bile revealed malignant cells.<BR>The patient underwent cholecystectomy and rese c tion of extrahepatic bile duct and was reconstructed by bilateral hepaticojejunostomy.<BR>The postoperative course was uneventful and the patient has been fine for seven months after operation.

Journal

  • Tando

    Tando 4 (2), 186-192, 1990

    Japan Biliary Association

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