Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
肝門部領域胆管狭窄を呈し,鑑別に苦慮した慢性胆嚢炎の一例
水島 一郎香川 幸一葛西 祐樹大谷 幸博田中 優作伊藤 高章中下 学岡沢 啓永田 博司西 知彦関 博章堂本 英治
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2020 年 96 巻 1 号 p. 195-197

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The most major cause of hilar bile duct stenosis is the malignant disease, but there are some benign causes and that makes the differentiation very difficult. We experienced a case of chronic cholecystitis to case a hilar bile duct stenosis which was difficult to differentiate from the gallbladder cancer.

We performed contrast CT (Computerized Tomography), ERCP (Endoscopic Retrograde Cholangiopancreatography), EUS-FNA (Endoscopic Ultrasound-Fine Needle Aspiration), PET CT (Positron Emission Tomography CT). From the results of these inspections, we diagnosed the case as chronic cholecystitis and operated a laparotomy cholecystectomy. The pathological diagnosis was chronic cholecystitis, and that showed we could raise the probability of diagnosis by performing some inspections and we could avoid the enlarge operation of liver resection. In conclusion, we recommend to combine some inspections before having the operation of hilar bile duct stenosis.

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© 2020 一般社団法人 日本消化器内視鏡学会 関東支部
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