副交通胆管枝に合併した尾状葉肝内結石症の1例

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  • A CASE OF COMMUNICATING ACCESSORY BILE DUCT ASSOCIATED WITH INTRAHEPATIC STONES OF THE CAUDATE LOBE

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This paper presents a rare case of communicating accessory bile duct associated with intrahepatic stones of the caudate lobe. A 66-year-old woman was admitted to the hospital because of abdominal pain and fever. Abdominal ultrasonography and abdominal CT showed multiple stones in the left caudate lobe. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) demonstrated an anomaly of the extrahepatic bile duct. Under a diagnosis of aberrant bile duct associated with intrahepatic stones of the caudate lobe, the patient was operated on. Intraoperative balloon-occluded cholangiography visualized a communicating accessory bile duct between the common bile duct and left hepatic duct. An extended left hepatectomy including the left caudate lobe was carried out. Post operative course was unevenful. Intraoperative balloon-occluded cholangiography was most helpful in the diagnosis of this abnormality.

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