cystic bile

Diagnosis of Cystic Diseases of Liver, Bile Duct and Pancreas by B-mode Realtime Ultrasonograph

肝、胆、胰囊性疾病B型超声显象诊断

Objective To summarize the experiences in treating adult congenital cystic dilation of bile duct in 53 cases.

目的总结53例成人先天性胆管囊性扩张症的治疗经验。

Surgical treatment of congenital cystic dilation of bile duct

先天性胆管囊状扩张症的手术治疗

29 patients with congenital cystic dilatation of bile duct were diagnosed by operation with histological confirmation.

本文报告先天性胆管囊状扩张症29例，均经手术及病理证实。

Histologically, the lesion appeared as a large island of loose mesenchymal tissue with few cystic bile ducts.

组织学上，该病灶由肝间叶组织构成，其中并夹杂囊状的胆管。

13 cases of cystic mass in the central upper part include 5 cases of cystic lymphangioma, 2 intestinal duplication, 1 giant cystic schwannoma in omental bursa, 3 common bile duct cyst and 2 peritoneal pseudocyst.

中上腹包块13例，其中：囊性淋巴管瘤5例，肠重复畸形囊肿2例，小网膜囊内神经鞘瘤囊性变1例，胆总管囊肿3例，非胰腺性假性囊肿2例；

Top right: Double gallbladder with independent cystic duct entering the common bile duct.

右上: 双胆囊,各自独立的胆囊管汇入胆总管.

According to the figures of X-rays photograph of ERCP contrast, 4 cases show longer duct remnants ( remnant type), 6 cases show cystic form of regenerated bile-cyst, and 3 cases show diverticulum type.

ERCP造影的X线形态：胆囊管残留过长（残留型）4例，再生胆囊形成呈囊状形6例，憩室型3例；