胆管空腸吻合部良性閉塞の１例

• 近藤 哲矢

  国立東静病院外科

• 角 泰廣

  国立東静病院外科

• 村瀬 勝俊

  国立東静病院外科

• 島本 強

  国立東静病院外科

• 杉本 琢哉

  国立東静病院外科

• 田島 吾郎

  国立東静病院外科

• 尾関 豊

  国立東静病院外科

書誌事項

タイトル別名

• A Case of Benign Biliary Obstruction Following Pylorus Preserving Pancreaticoduodenectomy

抄録

A 63-year-old man who underwent pylorus-preserving pancreaticoduodenectomy for carcinoma of the duode-nal papilla 4 years 3 months earlier, was admitted for fever and abdominal pain. Computed tomography showed dilation of the intrahepatic bile duct but no tumor. Percutaneous transhepatic cholangiography (PTC) showed obstruction at the common hepatic duct, necessitating PTC drainage. Percutaneous transhepatic cho-langioendoscopy (PTCS) showed no malignant signs around the obstruction. An attempt to pass a wire through the obstruction failed. We made a diagnosis of benign biliary obstruction with resultant hepaticojeju-nal anastomosis. At laparotomy, the hepaticojejunal anastomosis was very narrow. We resected the thickened hepatic duct followed by bilioenteric reanastomosis. Histologically, the resected specimen showed dense fibrous tissue with chronic inflammatory infiltrates compatible with ischemic biliary obstruction. The postop-erative course was uneventful and the patient is doing well.

収録刊行物

• 日本消化器外科学会雑誌

  日本消化器外科学会雑誌 37 (12), 1851-1856, 2004

  一般社団法人 日本消化器外科学会

キーワード

• biliary obstruction
• pancreaticoduodenectomy
• hepaticojejunal anastomosis

詳細情報

• CRID: 1390282679895451008
• NII論文ID: 130004344025
• NII論文ID: 10014399734
• NII書誌ID: AN00192066
• DOI: 10.5833/jjgs.37.1851
• ISSN: 13489372
• ISSN: 03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/37/12/37_12_1851/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005036910
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可