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Spontaneous Rupture of a Choledochal Cyst with Anomalous Union of PancreaticobileDuct Patient: Report of a Case

不正常胰膽管合流之總膽管囊腫自發性破裂:一病例報告

摘要


總膽管囊腫的成因可能與胰膽管合流異常有關,而胰膽管合流異常合併總膽管囊腫破裂於成年人中較為少見,本文報告一例52歲糖尿病病人,因為胰膽管合流異常合併有膽管囊腫病病例,並於不成功的逆行性膽管攝影後發生疑似總膽管破裂而形成腹部囊腫的病例,臨床上病人以急性腹痛的症狀出現,合併有胰臟炎與黃疸的現象經由影像學檢查證實有胰膽管合流異常,與腹腔內膽汁蓄積的情況。病人於經皮引流後症狀改善,後經手術治療後痊癒。

並列摘要


Bile peritonitis secondary to the rupture of choledochal cyst is an uncommon complication and has rarely been reported in adult patients. We report on an adult with a choledochal cyst who had an anomalous union of pancreaticobile duct presenting as a biloma due to spontaneous rupture. The fistula between choledochal cyst and biloma was closed after percutaneous drainage of the biloma. Resection of the choledochal cyst was performed after patient had been stabilized.

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