title: [Abnormal choledocho-pancreatico ductal junction causative of cystic-cylindric dilatation of intra- and extrahepatic bile ducts].
abstract: During the last 5 years there were 6 patients found to have abnormal ductal junction of the choledochus into the pancreas. Clinical signs were: repeating upper abdominal pain, intermittent icterus, signs of pancreatitis and/or palpable tumor. Sonography is the initial examination to show up a dilatation of the intra- and extrahepatic bile ducts. But intraoperative cholangiography alone reveals the true condition of the choledocho-pancreatico ductal junction. Only after this procedure the therapeutic step of a choledocho-jejunostomy should be done.
mesh_terms: D000293:Adolescent; D001649:Bile Duct Diseases / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D002758:Cholangiography; D003135:Common Bile Duct / Q000002:abnormalities; D003137:Common Bile Duct Diseases / Q000209:etiology*; D003560:Cysts / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D010183:Pancreatic Ducts / Q000002:abnormalities; D014463:Ultrasonography
vernacular_title: Fehlmündung des Ductus choledochus in den Ductus pancreaticus als Ursache der zystisch-zylindrischen Dilatation der intra- und extrahepatischen Gallenwege.