| Item type |
紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2007-10-22 |
| タイトル |
|
|
タイトル |
Notice of the Cystohepatic Ducts in Cholecystectomy: A Report with Review of the literatures |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 著者 |
Hirai, Ichiro
Takeshita, Akiko
Moriya, Toshiyuki
Suzuki, Akihiko
Ma, Jinfeng
Suto, Koichi
Fuse, Akira
Kimura, Wataru
|
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
446 |
|
|
姓名 |
平井, 一郎 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
447 |
|
|
姓名 |
竹下, 明子 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
448 |
|
|
姓名 |
森谷, 敏幸 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
449 |
|
|
姓名 |
鈴木, 明彦 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
450 |
|
|
姓名 |
馬, 晋峰 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
451 |
|
|
姓名 |
須藤, 幸一 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
452 |
|
|
姓名 |
布施, 明 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
453 |
|
|
姓名 |
木村, 理 |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
A 74-year-old man presented with epigastralgia and was diagnosed as having cholelithiasis. Endoscopic retrograde cholangiopancreatography (ERCP) initially visualized the cystic duct with the Heister valve from the common bile duct, and then two intra-hepatic biliary ducts of segment 5 (B5) were visualized from the neck of the gallbladder. There was a contrast medium filling defect in B5, which was considered to be due to an incarcerated stone. Magnetic resonance cholangiopancreatography (MRCP) and three-dimensional computed tomography (CT) cholangiography showed similar findings, suggesting that the patient had a biliary anomaly of the cystohepatic duct in which two intrahepatic bile ducts (B5) flowed into the neck of the gallbladder and a stone incarcerated in the neck of the gallbladder. At surgery, during mobilization of the gallbladder, there was a thick string between the liver and the gallbladder, and this was considered to be the junction of B5 with the gallbladder. Therefore, the neck of the gallbladder was cut, and an incarcerated stone 10 mm in diameter was removed. Intraoperative cholangiography revealed that the cystohepatic ducts were preserved. The postoperative course was uneventful and there was no bile leakage or liver dysfunction. Although cystohepatic duct is a rare biliary anomaly, the surgeon should be alert for its possible presence during cholecystectomy. When cholecystectomy is scheduled, more than one preoperative examination by three-dimensional CT cholangiography, MRCP or ERCP should be performed, and the surgeon should be careful not to overlook any biliary anomaly. Keywords: cystohepatic duct, biliary duct anomaly, cholecystectomy, three-dimensional computed tomography, gallstone |
| 書誌情報 |
山形大学紀要. 医学 : 山形医学 = Bulletin of the Yamagata University. Medical science : Yamagata medical journal
巻 24,
号 1,
p. 35-42,
発行日 2006-02-15
|
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00067279 |
| その他の言語のタイトル |
|
|
その他のタイトル |
胆嚢摘出術で注意すべき胆管走行異常(Cystohepatic duct)の1例 |
| タイトル（ヨミ） |
|
|
その他のタイトル |
タンノウ テキシュツジュツ デ チュウイ スベキ タンカン ソウコウ イジョウ Cystohepatic duct ノ 1レイ |
| 出版者 |
|
|
出版者 |
山形大学 |
| 出版者（ヨミ） |
|
|
値 |
ヤマガタ ダイガク |
| 別言語の出版者 |
|
|
値 |
Yamagata University |
| 資源タイプ |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文(Article) |
| 資源タイプ・ローカル |
|
|
値 |
紀要論文 |
| 資源タイプ・NII |
|
|
値 |
Departmental Bulletin Paper |
| 資源タイプ・DCMI |
|
|
値 |
text |
| 資源タイプ・ローカル表示コード |
|
|
値 |
2 |
kiyoum-24-1-035to042.pdf (2.9 MB)
