Polycystic diseaseに合併した胆管細胞癌の1切除例

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  • CASE OF CHOLANGIOCELLULAR CARCINOMA WITH POLYCYSTIC KIDNEY AND LIVER DISEASE TREATED BY RESECTION

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We have treated a patient with polycystic kidney and liver disease with a coexisting cholangiocellular carcinoma surgically. Such treatment has not been reported in Japan so far, to the best of our knowledge. A 63-year-old man was admitted to the hospital because of obstructive jaundice. Imaging methods visualized a tumor of the porta hepatis and multiple cysts of the liver, kidney, and pancreas. The patient was diagnosed as having a cholangiocellular carcinoma with polycystic disease. Extended left lobectomy of the liver with reconstruction of the right hepatic artery and right hepaticojejunostomy was carried out. On and after 12th postoperative day, the patient had a fever and leukocytosis. A liver abscess was suspected, but we had difficulty in diagnosis, because the multiple liver cysts coexisted. Computed tomography done some days apart showed that the abscess changed while the cysts did not show any changes. If a patient with polycystic kidney and liver disease is treated by a surgical method that may increase a risk of liver abscesses, computed tomography should be done several times postoperatively to check the occurrence of this complication.

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