- 期刊
先天性肝內膽道擴張症（Caroli氏疾病）併總膽管囊腫
Caroli's Disease with Choledochal Cyst
摘要
一名9歲女孩因急性膽道炎症狀發熱、腹痛與黃疸住院。先以抗生素控制其感染後，再施以各項檢查，包括腹部超音波檢查肝同位素攝影，內視鏡逆行性胰膽管攝影以及經皮通肝膽道攝影。證實爲先天性肝內膽道擴張症，亦卽Caroli氏疾病，且併有肝外膽道囊腫。病人在接受經皮通肝膽道攝影檢查後，再度出現發熱與黃疸，所以接受緊急引流手術。10天後，才接受矯正手術，術後情況良好。
關鍵字
無資料並列摘要
A 9-year-old girl was admitted to the Pediatric Ward of the National Taiwan University Hospital because of acute abdominal pain, fever and jaundice. She was placed on antibiotics arid the symptoms relieved. Alter a series of examinations including abdominal sonography, liver scan1 endoscopic retrograde pancreaticocholangiography and percutaneous transhepatic cholangiography, the diagnosis of congenital dilatation of the intrahepatic bile duct (Caroli's disease) and extrahepatic bile duct was established, Fever and jaundice recurred after the percutaneous transhepatic cholangiography examination. A preliminary decompression cholecystostomy was made, then a total excision of the dilated extrahepatic bile duct with hepatojejunostomy followed. The postoperative course was uneventful and she has been asymptomatic since
延伸閱讀
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