Double extrahepatic bile duct with pancreaticobiliary maljunction:a case report

DOI
  • MORI Yuki
    First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi
  • HASEGAWA Hiroyuki
    First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi
  • FUKASAWA Mitsuharu
    First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi
  • TAKANO Shinichi
    First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi
  • SHINDO Hiroko
    First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi
  • TAKAHASHI Ei
    First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi
  • SHIMAMURA Naruki
    First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi
  • HOSOMURA Naohiro
    First Department of Surgery, Faculty of Medicine, University of Yamanashi
  • KAWAIDA Hiromitsu
    First Department of Surgery, Faculty of Medicine, University of Yamanashi
  • ENOMOTO Nobuyuki
    First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi

Bibliographic Information

Other Title
  • 膵・胆管合流異常をともなった重複胆管結石症に対して外科手術で治療し得た1例

Abstract

<p>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.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390299760188969856
  • DOI
    10.11405/nisshoshi.121.321
  • ISSN
    13497693
    04466586
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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