Choledochal cyst and congenital anomalies of the pancreatico-biliary junction: the clinical findings, radiology and outcome in nine cases.

Choledochal cyst and congenital anomalies of the pancreatico-biliary junction: the clinical findings, radiology and outcome in nine cases.
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胆总管囊肿和胰胆管交界处先天性异常:九例临床表现、放射学和结果。

DOI:
10.1259/0007-1285-65-769-33
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发表时间:
1992
期刊:
The British journal of radiology
影响因子:
--
通讯作者:
B. Lawrie
B. Lawrie
中科院分区:
--
文献类型:
--
作者:
W. T. Young;G. Thomas;A. J. Blethyn;B. Lawrie

文献摘要

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本文总结了9例胆总管囊肿的临床资料。女性以6:3为主。四名患者出现在成年期。术后3例患者发生胆管癌变,间隔时间为2~35年。主要的主诉是腹痛,症状从几周到28年都有。超声成像可能是儿科年龄组所需要的全部,但在成人中,建议进一步通过直接胆道造影术确认胆总管囊肿和相关的胰胆管连接异常(AJPB)。
Nine patients with choledochal cyst have been reviewed. There was a 6:3 preponderance of females. Four patients presented in adulthood. Cholangiocarcinoma developed in three patients with an interval ranging from 2 to 35 years following surgery. The predominant complaint was of abdominal pain and symptoms had been present from weeks up to 28 years. Imaging by sonography may be all that is required in the paediatric age group, but in adults further confirmation of the choledochal cyst and the associated anomalous junction of the pancreatico-biliary duct (AJPB) by direct cholangiography is recommended.