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首页> 外文期刊>Journal of hepato-biliary-pancreatic surgery >Usefulness of computed tomography during cholangiography for the diagnosis of multiple hepatic peribiliary cysts: a report of three cases with chronic liver disease.
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Usefulness of computed tomography during cholangiography for the diagnosis of multiple hepatic peribiliary cysts: a report of three cases with chronic liver disease.

机译：胆管造影期间计算机断层扫描对多发性肝胆管囊肿的诊断有用：3例慢性肝病报告。

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摘要

Hepatic peribiliary cysts are composed of multiple tiny cysts along the larger portal tracts and have been reported to be harmless. On clinical images, peribiliary cysts resemble other diseases such as biliary dilatations, cholangitis, or periportal edema. Therefore, it is important to distinguish peribiliary cysts from these diseases using a combination of several imaging modalities. Herein, we report three cases of peribiliary cysts. The first case underwent laparotomy for the presumptive diagnosis of intrahepatic cholangiocarcinoma. In the remaining two cases, hepatic peribiliary cysts were diagnosed and laparotomy was avoided. Magnetic resonance cholangiography contributed to the diagnosis, owing to their characteristic distribution. In addition, computed tomography during cholangiography (cholangio-CT) demonstrated that the cysts had no communication with the intrahepatic biliary system. Therefore, cholangio-CT is considered to be the most useful modality for the diagnosis of peribiliary cysts.
机译：肝胆管囊肿由沿较大门脉的多个微小囊肿组成，据报道是无害的。在临床影像上，胆囊肿与其他疾病类似，例如胆道扩张，胆管炎或门静脉水肿。因此，重要的是要结合几种影像学方法将胆管囊肿与这些疾病区分开。在此，我们报告了三例胆汁性囊肿。第一例行开腹手术以推定诊断为肝内胆管癌。在其余两个病例中，诊断出肝胆管囊肿并避免了剖腹手术。磁共振胆道造影由于其特征分布而有助于诊断。另外，在胆管造影术（cholangio-CT）中的计算机体层摄影术显示，囊肿与肝内胆道系统没有联系。因此，胆管CT被认为是诊断胆管囊肿最有用的方法。

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