与胰腺癌相关的 I 型总胆管重复的不寻常变异。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Archive of clinical cases Pub Date : 2024-07-16 eCollection Date: 2024-01-01 DOI:10.22551/2024.43.1102.10289
Andrei Bancu, Thomas Poundall, Claudia Santos, Yutaro Higashi, Abed M Zaitoun, Dileep N Lobo
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引用次数: 0

摘要

胆总管重复是胆道异常罕见的先天性畸形。在本病例报告中,我们记录了一名因胰腺癌接受胰十二指肠切除术的 79 岁男性的胆总管重复畸形。重复的胆总管由两根未分离、完全分层的胆总管组成,这两根胆总管起源于胆囊管交界处上方,终止于插入胰腺点之前,在该处两管腔汇合成一根胆总管。胆总管重复的情况非常罕见,通常不会被发现。在本病例中,异常是在一名因胰十二指肠癌而进行胰十二指肠切除术的患者身上偶然发现的。然而,胆管重复可能与胆总管结石、胆管炎、胰腺炎和胰胆管恶性肿瘤有关,因此必须警惕这种情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An unusual variant of type I common bile duct duplication associated with ampullary carcinoma.

Common bile duct duplications represent exceptionally rare congenital anomalies of the biliary tract. In this case report we document an unusual variant of common bile duct duplication in a 79-year-old man who underwent a pancreaticoduodenectomy for ampullary cancer. The duplication consisted of two unseparated, completely-layered, common bile ducts which originated above the cystic duct junction and terminated prior to the point of insertion into the pancreas, where the two lumens converged into a single duct. Duplication of the bile duct is rare and often goes undetected. In the present case, the anomaly was found incidentally in a patient who had a pancreaticoduodenectomy for an ampullary carcinoma. However, duplication may be associated with choledocholithiasis, cholangitis, pancreatitis, and pancreaticobiliary malignancies and it is important to be aware of the condition.

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