A new variant of bile duct duplication with coexistence of distal cholangiocarcinoma

作者：Kosar Ilkay; Ataseven Hilmi^*; Yonem Ozlem; Cakmak Erol; Ozer Oezdemir; Ozer Hatice; Topcu Omer

来源：Nature Reviews Gastroenterology & Hepatology, 2010, 7(9): 527-530.

DOI：10.1038/nrgastro.2010.118

Background. A 72-year-old hypertensive woman presented with a 2-month history of right upper quadrant abdominal pain. She had a 15-day history of jaundice, fever with chills and shivering, nausea, vomiting, weight loss and generalized pruritus.
Investigations. Physical examination, laboratory evaluation, transabdominal ultrasonography, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, brush cytology, laparotomy and histopathology.
Diagnosis. Bile duct duplication with coexistence of distal cholangiocarcinoma.
Management. En bloc resection (including the duodenum, pancreatic head and adjacent lymph nodes), hepaticojejunostomy and pylorus-saving Whipple operation.

• 出版日期2010-9