A CASE OF CHOLESTEROSIS OF THE COMMON BILE DUCT
| Autor: | Mitsuo Kusano, Masayuki Sawa, Noriaki Maniya, Kazuhiko Onodera, Narihiro Ooe, Michio Mito, Shinichi Kasai, Kazuya Kato |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
medicine.medical_specialty
Common bile duct business.industry medicine.medical_treatment Gallbladder medicine.disease Cholesterosis Gastroenterology Lesion medicine.anatomical_structure Filling defect Internal medicine Gallbladder polyp Medicine Cholecystectomy Clinical significance Radiology medicine.symptom business |
| Zdroj: | The journal of the Japanese Practical Surgeon Society. 54:532-536 |
| ISSN: | 0386-9776 |
| DOI: | 10.3919/ringe1963.54.532 |
| Popis: | Cholesterosis of the common bile duct has been thought to be very rare compared with that of the gallbladder. We followed up a case of this disease for 6 years after operation, and assessed the clinical significance of this abnormal findings. A 55-year-old man was admitted to the hospital for operation of a gallbladder polyp. Since DIC showed an irregular filling defect in the lower part of the common bile duct, intraoperative cholangioscopy was performed and yellowish-white multipolypoid cholesterosis was revealed in the same location. This lesion taken by fogarty catheter was proved to have foamy cells in the subepithelial layers histologically. This patient undertook cholecystectomy and T-tube drainage, but this lesion was remained in spite of removing some polyps through T-tube postoperatively. He has been nevertheless symptom-free and normal in laboratory examination while the same DIC findings are still seen. So we should avoid over'surgery for this lesion, which seems to have less significance clinically. |
| Databáze: | OpenAIRE |
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