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Surgical Management of Type IA Choledochal Cyst: A Case Report

第一型膽管囊腫:病例報告

摘要


膽管囊腫是一種罕見的先天性異常膽管疾病,常發生在年幼時期。本病例報告一名19歲女孩因腹痛、發燒和黃疸而至急診就診。檢查後診斷為第一型膽管囊腫。經膽管囊腫、膽總管遠端粘膜、膽囊切除及肝管空腸Roux-en-Y吻合手術後,恢復良好。膽管囊腫具有潛在惡性轉化的可能性,因此早期診斷很重要,並建議及早以手術切除。

並列摘要


Choledochal cyst is a rare congenital abnormality of the bile duct and usually occurs in young ages. We presented a 19 year-old girl who suffered from abdominal pain, fever and jaundice, and was subsequently diagnosed with Todani type IA choledochal cyst. Surgery with choledochal resection, mucosectomy of distal common bile duct, cholecystectomy, and Roux-en-Y hepaticojejunostomy was performed. She enjoyed full recovery after the operation. Early diagnosis of choledochal cyst is important due to its potential for malignant transformation, and thus surgical intervention for total cystic excision is recommended.

延伸閱讀


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