门静脉变异致肝门部胆管狭窄形成的胆管胡桃夹征  

Biliary nut-craker syndrome caused by hilar biliary stricture due to portal vein variation

作　　者：梁斌[1] 黄晓强[1] 董家鸿[1] 王敬[1] 常瑞萍[1] 程志雷[1] 黄志强[1] 

机构地区：[1]解放军总医院肝胆外科医院、全军肝胆外科研究所,北京100853

出　　处：《中华消化外科杂志》2011年第1期74-76,共3页Chinese Journal of Digestive Surgery

基　　金：基金项目：军队十一五课题（067.052-1）

摘　　要：肝门部良性胆管狭窄多见于损伤性胆管狭窄、肝胆管结石病及胆管良性肿瘤等。而由门静脉变异引起的良性胆管狭窄鲜有文献报道。2010年3月我科收治了1例门静脉主干变异引发肝门部胆管狭窄的患者。现将其临床特点报道如下。Benign biliary stricture is a challenging problem in hepatobiliary surgery. Benign biliary stricture is asso- ciated with major portal vein variation, which is not be found in literatures. A male patient with benign biliary stricture was admitted to the Chinese PLA General Hospital in March, 2010. The stricture was located in the hilar confluence with intrahepatic biliary dilation and hepatolithiasis. The result of computed tomography showed that the hilar biliary coldluence was compressed by the left portal vein and right anterior portal vein. The patient was cured after receiving gallbladder interposition, choledocho- lithotomy and T tube drainage. We suggested that the benign hilar biliary stricture due to portal vein variation may be named as biliary nut-craker syndrome.

关 键 词：胆管胡桃夹征 良性胆管狭窄 门静脉变异 螺旋CT扫描 

分 类 号：R657.4[医药卫生—外科学]