閉塞性黄疸を来したと考えられる石灰乳胆汁の1例  [in Japanese] Limy bile with obstructive jaundice : A case report  [in Japanese]

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Abstract

症例は39歳, 女性. 黄疸を主訴に来院. 腹部超音波検査およびC T 検査により,総胆管結石による閉塞性黄疸の診断のもと,経皮経肝胆道ドレナージ術(PTCD)が施行された.胆道造影像上,胆嚢管から総胆管に連続する陰影欠損像と総胆管末端に円形の陰影欠損像が認められた. PTCD チューブからは胆汁とともに白色泥状物質が少量ずつ排泄され, それに伴い胆道造影像上の胆嚢管から総胆管に連続する陰影欠損像は消褪した. この白色泥状物質の成分は炭酸カルシウム100%で,胆嚢管の嵌頓結石とともに総胆管内に流出した石灰乳胆汁と診断された.石灰乳胆汁はPTCDチューブから排出され消失したが,胆嚢内結石および総胆管結石に対し,胆嚢摘出術および総胆管切開截石術が施行された.

A 39-year-old woman was admitted to our hospital with complaints of epigastric pain and jaundice. Abdominal ultrasonography and computed tomography revealed limy bile with obstr uctive jaundice. Percutaneous transhepatic biliary drainage (PTBD) was performed, and cholangiography showed a filling defect in the cystic duct leading into the common bile duct with a round filling defect at the end of the common bile duct. A white clay-like substance of calcium carbonate was drained, and limy bile in the common bile duct was confirmed. The limy bile was drained out through the PTBD tube over the course of some days. Gholecystectomy and choledochotomy with choledocholithotomy were performed for a gallbladder stone and a common bile duct stone. The patient was well at three-years follow up.

Journal

  • Tando

    Tando 16(1), 63-67, 2002-03-25

    Japan Biliary Association

References:  19

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008363427
  • NII NACSIS-CAT ID (NCID)
    AN10062001
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    09140077
  • Data Source
    CJP  CJPref  J-STAGE 
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