Obstructive Jaundice Due to Hilar Bile Duct Compression with Encasement of the Right Hepatic Artery

被引:3
|
作者
Ito, Ryusuke [1 ]
Ishii, Yuji [1 ]
Uwagawa, Tadashi [1 ]
Wakiyama, Shigeki [1 ]
Shiba, Hiroaki [1 ]
Misawa, Takeyuki [1 ]
Ishida, Yuichi [1 ]
Kakutani, Hiroshi [2 ]
Sadaoka, Shunichi [3 ]
Yanaga, Katsuhiko [1 ]
机构
[1] Jikei Univ, Sch Med, Dept Surg, Tokyo, Japan
[2] Jikei Univ, Sch Med, Dept Endoscopy, Tokyo, Japan
[3] Jikei Univ, Sch Med, Dept Radiol, Tokyo, Japan
关键词
Obstructive jaundice; Right hepatic artery; Hepatic cyst; Hilar bile duct; Cholangioscopy;
D O I
10.4021/gr2009.10.1319
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A 68-year-old woman had a solitary 12.0 cm hepatic cyst with a septum. The cyst was located near the hepatic hilum and she presented with obstructive jaundice caused by compression of the hilar bile duct. Stenosis of the common hepatic duct was detected at the porta hepatis on endoscopic retrograde cholangiography (ERC), and encasement of the right hepatic artery at the same level was revealed by abdominal angiography. Transpapillary cholangioscopy showed compression and mucosal erosions of the hilar bile duct. After transpapillary cholangioscopy, the hepatic cyst became infected, for which emergency percutaneous transhepatic drainage was performed. As a result, the patient's obstructive jaundice subsided. The mucosal erosions of the bile duct that existed at a site corresponding to the encasement of the right hepatic artery also improved. In conclusion, bile duct stenosis was considered to be caused by compression due to the hepatic cyst and the right hepatic artery.
引用
收藏
页码:303 / 306
页数:4
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