A case report of benign inflammatory segmental stricture of the common bile duct with squamous metaplasia

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  • 扁平上皮化生を伴った炎症性限局性良性胆管狭窄の1例

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Abstract

A case of benign inflammatory segmental stricture of the common bile duct with squamous metaplasia is reported. A 69-year-old woman was seen at the hospital because of epigastralgia and low grade fever. The blood chemical examinations revealed the liver dysfunction, and abdominal imagings (ultrasonography, computed tomography, cholangiography) revealed a stone in the dilated common hepatic duct and a segmental stricture of the middle common duct. Under the tentative diagnosis of the bile duct carcinoma with cholelithiasis, operation was done. Both the intraoperative histopathological findings and macroscopic findings revealed no malignant lesion. After cholecysto-choledochectomy, hepatico-duodenostomy was carried out. Histopathological findings of the resected specimen revealed squamous metaplasia and severe eosin ophilic infiltration in the hepatic duct, and fibrosis, peribiliary glands with hyperplastic change and lymphoid cells infiltration in the stenotic portion with no part of the malignant lesion.

Journal

  • Tando

    Tando 11 (3), 297-301, 1997

    Japan Biliary Association

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