原発性硬化性胆管炎の経過観察中に下部胆管の限局性狭窄を呈した1例

• 鈴木 修司

  八王子消化器病院

• 原田 信比古

  八王子消化器病院

• 鈴木 衛

  八王子消化器病院

• 羽生 富士夫

  八王子消化器病院

書誌事項

タイトル別名

• A case of primary sclerosing cholangitis with segmental stricture

抄録

A 46-year-old man with ulcerative colitis and cholelithiasis was admitted for liver dysfunction. Endoscopic retrograde cholangiography revealed a beaded appearance of the common bile duct, cholecysto-choledocholithiasis and a pruned tree appearance of the intrahepatic bile duct. We diagnosed primary sclerosing cholangitis, and performed cholecystectomy with choledochotomy. After 26 months, the serum ALP value elevated. Endoscopic retrograde cholangiography showed irregular stricture of the lower bile duct, and computed tomography showed thickening of the wall of the common bile duct. Cytology of bile juice taken by endoscopic retrograde cholangiography was class III. Pyrorus-preserving pancreatoduodenectomy was performed on suspicion of bile duct carcinoma. The pathological diagnosis was sclerosing cholangitis. The patient is in good health 2years after resection.

収録刊行物

• Tando

  Tando 18 (2), 253-257, 2004

  Japan Biliary Association

キーワード

• 原発性硬化性胆管炎(PSC)
• 潰瘍性大腸炎
• 下部胆管狭窄

詳細情報

• CRID: 1390282680442844672
• NII論文ID: 130004675737
• NII論文ID: 10031122757
• NII書誌ID: AN10062001
• DOI: 10.11210/tando1987.18.2_253
• ISSN: 09140077
• Web Site: https://search.jamas.or.jp/link/ui/2004259965
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可