摘要
肝门部良性胆管狭窄多见于损伤性胆管狭窄、肝胆管结石病及胆管良性肿瘤等。而由门静脉变异引起的良性胆管狭窄鲜有文献报道。2010年3月我科收治了1例门静脉主干变异引发肝门部胆管狭窄的患者。现将其临床特点报道如下。
Benign biliary stricture is a challenging problem in hepatobiliary surgery. Benign biliary stricture is asso- ciated with major portal vein variation, which is not be found in literatures. A male patient with benign biliary stricture was admitted to the Chinese PLA General Hospital in March, 2010. The stricture was located in the hilar confluence with intrahepatic biliary dilation and hepatolithiasis. The result of computed tomography showed that the hilar biliary coldluence was compressed by the left portal vein and right anterior portal vein. The patient was cured after receiving gallbladder interposition, choledocho- lithotomy and T tube drainage. We suggested that the benign hilar biliary stricture due to portal vein variation may be named as biliary nut-craker syndrome.
出处
《中华消化外科杂志》
CAS
CSCD
2011年第1期74-76,共3页
Chinese Journal of Digestive Surgery
基金
基金项目:军队十一五课题(067.052-1)
关键词
胆管胡桃夹征
良性胆管狭窄
门静脉变异
螺旋CT扫描
Biliary nut-craker syndrome
Benign biliary stricture
Portal vein variation
Spiral computed tomography