[A case report of cholangiectasis with cholangiocarcinoma].
This is a case report of cholangiectasis with cholangiocarcinoma in a 37-year-old female. Both computed tomography (CT) and endoscopic retrograde cholangio-pancreatography (ERCP) demonstrated gallstone, and intrahepatic bile duct dilatation with the stone. The diagnosis was intrahepatic cholangiectasis without common bile duct-dilatation. Hepatectomy of segment 3 with resection of the extrahepatic bile duct and reconstruction of the biliary tract was performed. Upon pathological examination, an early stage of cholangiocarcinoma was pointed out within the small range of common bile duct without dilatation or stone. Cholangiocarcinoma with cholangiectasis has been reported to be induced by counter flow of pancreas and intestinal juice because of the pancreaticobiliary maljunction. So we usually choose a diversion operation as our tactics to get rid of the counter flow of those digestive juices. Despite the above-mentioned tendency, this is a very rare case of carcinogenesis in common bile duct without dilatation.
Dept. of Digestive Surgery, Kyoto Prefectural University of Medicine Graduate School of Medical Science.
Tomoyuki
T
Nagata
Hisashi
H
Ikoma
Sousuke
S
Komiyama
Minoru
M
Nishio
Yasutoshi
Y
Murayama
Shuuhei
S
Komatsu
Atsushi
A
Shiozaki
Yoshiaki
Y
Kuriu
Masayoshi
M
Nakanishi
Daisuke
D
Ichikawa
Hitoshi
H
Fujiwara
Kazuma
K
Okamoto
Toshiya
T
Ochiai
Chouhei
C
Sakakura
Yukihito
Y
Kokuba
Teruhisa
T
Sonoyama
Eigo
E
Otsuji
D000328:Adult; D001649:Bile Duct Diseases / Q000150:complications / Q000473:pathology*; D001650:Bile Duct Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D001653:Bile Ducts, Intrahepatic / Q000473:pathology*; D018281:Cholangiocarcinoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications / Q000473:pathology; D005260:Female; D006801:Humans; D012074:Remission Induction; D014057:Tomography, X-Ray Computed