Three-Dimensional Helical Computed Tomography With Intravenous Cholangiography for Sclerosing Cholangitis Manifested as Postcholecystectomy Symptom
| Autor: | Akira Kawaguchi, Yoshimasa Kurumi, Takanobu Hase, Humitaka Ishigami, Hidetoshi Okabe, Junsuke Shibata, Akihiro Kishida, Masashi Kodama |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Reoperation
medicine.medical_specialty Postcholecystectomy syndrome medicine.medical_treatment Cholangitis Sclerosing Jejunostomy Intravenous cholangiography Hepatic Duct Common Diagnosis Differential Cholangiography Image Processing Computer-Assisted medicine Hepatectomy Humans medicine.diagnostic_test business.industry Gallbladder Gastroenterology Middle Aged medicine.disease Surgery Contrast medium medicine.anatomical_structure Common hepatic duct Biliary tract Female Cholecystectomy Radiology Tomography X-Ray Computed business Postcholecystectomy Syndrome Follow-Up Studies |
| Zdroj: | Journal of Clinical Gastroenterology. 24:169-172 |
| ISSN: | 0192-0790 |
| DOI: | 10.1097/00004836-199704000-00010 |
| Popis: | A 46-year-old woman who had upper abdominal pain 10 years after cholecystectomy, and who had incidental sclerosing cholangitis (SC), was investigated by three-dimensional helical computed tomographic (3-DHCT) cholangiography with contrast medium, because endoscopic retrograde cholangiography (ERC) was unsuccessful and a second ERC was not permitted by the patient. The cholangiogram demonstrated annular strictures of the bilateral hepatic duct at the confluence of the common hepatic duct, and dilatation of the left intrahepatic biliary duct. Although we could not clarify the cause of the biliary tract deformity at the time of the 3-DHCT, the tentative diagnosis of postcholecystectomy deformity of the biliary tree led to successful treatment by right liver lobectomy and hepaticojejunostomy. Histologic findings were compatible with SC. From this experience and the literature, we suggest that 3-DHCT cholangiography with contrast medium can contribute to the preoperative diagnosis of morphological changes in the biliary tree in patients with postcholecystectomy symptoms. |
| Databáze: | OpenAIRE |
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