The Japanese Journal of Gastroenterological Surgery
Online ISSN : 1348-9372
Print ISSN : 0386-9768
ISSN-L : 0386-9768
Stricture of the Bile Duct after Blunt Abdominal Injury: A Difficult Diagnosis
Masaru SaitohHirohiko OnoyamaKoji NishimuraKen SagayamaMasanori TakahashiTamon NakajiShintaro TakaoYoshinari HashimotoYasutomo AzumiTomoaki Urakawa
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2001 Volume 34 Issue 1 Pages 32-35

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Abstract
This parer describes a case of traumatic choledochal stenosis of which diagnosis was difficult to differentiate from malignant disease. A 70-year old man had a traffic accident with fracture of the ulnar bone but without abdominal symptom. Two weeks after the accident he developed obstructive jaundice. Ultrasonography and computed tomography revealed no findings of tumor. However, percutaneous transhepatic cholangiography showed lower bile duct stenosis which persisted continued 4 weeks after biliary drainage. Cytology of the bile jiuce was suggestive of cancer. He underwent pancreaticoduodenectomy with a diagnosis of lower bile duct cancer. However, the surgical specium and histology showed stricture of bile duct due to blunt abdominal injury.
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この記事はクリエイティブ・コモンズ [表示 - 非営利 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc/4.0/deed.ja
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