ID 106060
著者
ヤマダ シンイチロウ The Department of Surgery, the University of Tokushima
島田 光生 The Department of Surgery, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
ウツノミヤ トオル The Department of Surgery, the University of Tokushima
森根 裕二 The Department of Surgery, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
居村 暁 The Department of Surgery, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
池本 哲也 The Department of Surgery, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
森 大樹 The Department of Surgery, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
カナモト マミ The Department of Surgery, the University of Tokushima
ハナオカ ジュン The Department of Surgery, the University of Tokushima
岩橋 衆一 The Department of Surgery, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
斉藤 裕 The Department of Surgery, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
石橋 広樹 The Department of Surgery, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
pancreaticobiliary maljunction
hilar cholangiocarcinoma
cholecystectomy
資料タイプ
学術雑誌論文
抄録
Pancreaticobiliary maljunction (PBM) is associated with the occurrence of biliary cancer due to pancreatobiliary reflux. From the perspective of carcinogenesis, the treatment for PBM is controversial. We herein report a case of hilar cholangiocarcinoma 20 years after the occurrence of gallbladder cancer. A 75-year-old man was referred to our hospital regarding an obstructive jaundice and bile duct tumor. A cholecystectomy was performed for cholelithiasis on this patient 20 years ago, and cancer in situ was detected. Computed tomography (CT) and endoscopic retrograde cholangiopancreatography (ERCP) revealed a tumor of the portal hepatic region and PBM without dilatation of the bile duct. Adenocarcinoma was detected from bile cytology, and we diagnosed hilar cholangiocarcinoma. Despite the biliary decompression, jaundice was prolonged and the patient passed away. Our case suggests that not only cholecystectomy but also biliary diversion is needed for PBM regardless of the existence of bile duct dilatation.
ISSN
13431420
cat書誌ID
AA11166929
掲載誌名
The journal of medical investigation : JMI
60
1-2
開始ページ
169
終了ページ
173
並び順
169
発行日
2013-02
EDB ID
267826
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院