鈍的腹部外傷による遅発性,外傷性胆道狭窄症の1例

• 千須和 寿直

  篠ノ井総合病院外科

• 市川 英幸

  篠ノ井総合病院外科

• 村上 真基

  篠ノ井総合病院外科

• 窪田 達也

  篠ノ井総合病院外科

• 川口 研二

  篠ノ井総合病院病理科

書誌事項

タイトル別名

• A CASE OF LATE ONSET BENIGN BILE DUCT STRICTURE SECONDARY TO A BLUNT ABDOMINAL TRAUMA

抄録

We report a case of late onset of benign bile duct stricture secondary to a blunt abdominal trauma with a review of 53 cases seen in the Japanese literature. A 50-year-old woman was seen at the hospital because of jaundice. She was involved in an automobile accident, suffering a steering wheel injury with liver lesion, and was treated conservatively with a remission six months before. Blood chemistry tests showed a total builirubin of 12.1mg/dl, CEA of 6.2ng/ml and increased to CA19-9 of 176.6U/ml. Abdominal ultrasonography and computed tomography showed dilatation of the common bile duct and an irregular mass in the pancreas head. Endoscopic retrograde cholangiopancreatography showed the Santorini's duct deviated to the lower side and severe stricture of the lower, bile duct. At laparotomy we found a 2.5cm hard mass involving the lower bile duct, and with a suspicion of bile duct cancer a pancreatoduodenectomy was performed. Microscopy revealed no malignant lesion but reactive infiltration of giant cells and lymphocytes, and fibrosis probably due to bile leakage, permitting the diagnosis of benign the bile duct stricture secondary to blunt abdominal trauma.

収録刊行物

• 日本臨床外科医学会雑誌

  日本臨床外科医学会雑誌 58 (9), 2125-2130, 1997

  日本臨床外科学会

キーワード

• 良性胆道狭窄
• 鈍的腹部外傷

詳細情報

• CRID: 1390001205314098304
• NII論文ID: 130003432298
• NII論文ID: 10008530516
• NII書誌ID: AN00198696
• DOI: 10.3919/ringe1963.58.2125
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/58/9/58_9_2125/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1998079871
• データソース種別:
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  • Crossref
  • CiNii Articles
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