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總膽管囊腫併優勢背胰管症候群:二病例報告

Choledochal Cyst Associated with Dominant Dorsal Duct Syndrome: Report of Two Cases

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摘要


總膽管囊腫的出現有可能意味著優勢背胰管的存在,本文便是提出具有總膽管囊腫併優勢背胰管症候群者兩例。首位四個月的男性病嬰,以腹脹及持續嘔吐表現,另一個九個月大男嬰則以發燒一日、躁動不安,餵食後嘔吐及喜作左側躺表現。這兩例皆於診斷總膽管囊腫後施以手術切除。在手術中進行膽道胰管攝影發現皆為背胰管優勢。故特別提出報告並回顧文獻,加以討論。

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並列摘要


Two cases with choledochal cysts associated with dominant dorsal ducts were reported. The first patient, a male infant, presented with abdominal distention and vomiting for two days at the age of four months. The second patient, nine month-old male infant, presented with fever for one day, irritability, post-prandial vomiting and preference for lying in a left lateral decubitus position. Both cases were operated under the impression of choledochal cysts, and were found by intraoperative cholangiopancreatography to have dominant dorsal ducts. These two cases and the literature concerning choledochal cyst associated with dominant dorsal duct are reviewed.

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