急性膵炎で発症した先天性胆道拡張症の 1 小児例

前岡 瑛里; 池田 太郎; 古屋 武史; 星 玲奈; 橋本 真; 渡邉 揚介; 蘇我 晶子; 南郷 容子; 金田 英秀; 大橋 研介; 井上 幹也; 杉藤 公信; 越永 従道

doi:10.4264/numa.70.217

Clinical Reports:

A Case of Congenital Biliary Dilatation in a Girl Presenting with Acute Pancreatitis

Eri Maeoka, Taro Ikeda, Takeshi Furuya, Reina Hoshi, Makoto Hashimoto, Yosuke Watanabe, Akiko Soga, Yoko Nango, Hide Kaneda, Kensuke Ohashi, Mikiya Inoue, Kiminobu Sugito, Tsugumichi Koshinaga

Author information

Eri Maeoka
6th-year Student, Nihon University School of Medicine
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Taro Ikeda
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Takeshi Furuya
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Reina Hoshi
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Makoto Hashimoto
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Yosuke Watanabe
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Akiko Soga
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Yoko Nango
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Hide Kaneda
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Kensuke Ohashi
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Mikiya Inoue
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Kiminobu Sugito
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
Tsugumichi Koshinaga
Department of Medical Science, Division of Cell Regeneration and Transplantation, Nihon University School of Medicine

Keywords: congenital biliary dilatation, pancreaticobiliary maljunction, acute pancreatitis, childhood

JOURNAL FREE ACCESS

2011 Volume 70 Issue 4 Pages 217-220

DOI https://njjn-jsjc-gov-cn-s-1416.res.gxlib.org.cn:443/rwt/1416/https/MSYXTLUQPJUB/10.4264/numa.70.217

Details

Abstract

We report case of a patient who was diagnosed with congenital biliary dilatation (CBD) due to acute pancreatitis. An 8-year-old-girl was referred to our hospital for acute onset of upper abdominal pain. Acute pancreatitis was suggested due to her laboratory data, and CBD was also suggested by abdominal ultrasonography and abdominal computed tomography. Her symptoms improved markedly after several days of starving, intravenous fluid infusion, antibiotics and infusion of a protease inhibitor. We subsequently initiated administration of enteral nutrition via a nasojejunal feeding tube to reduce the recurrence of pancreatitis. Radical CBD operation was performed successfully 3 weeks later. Her postoperative course was uneventful. We conclude that it is essential to prevent the recurrence of acute pancreatitis in cases of CBD and to perform surgery as soon as possible.

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