关键词:

先天性胆总管囊肿, 急性胰腺炎, 手术治疗, 文献复习

Abstract:

Biliary tract cysts, also known as congenital choledochal cysts (congenital bile dilatation), mainly manifest as the dilatation of the extrahepatic bile duct. Its global incidence is 1/150 000 – 1/100 000, but it may be as high as 1/1 000 in Asians. In addition, the incidence rate shows that women are dominant, with a female to male ratio of 3:1 to 4:1. Biliary tract cysts often appears in infants and can be diagnosed occasionally, or when it causes biliary pancreatitis accompanied by abdominal pain, jaundice, or even an enlarged liver ^[1]. In recent years, the incidence of the disease has also increased in China. This paper reports a case of Ⅳb congenital choledochal cyst with persistent abdominal pain, elevated blood amylase, and other acute pancreatitis symptom as the first symptoms. The patient was diagnosed as Ⅳb congenital choledochal cyst by imaging examination. When the symptoms of pancreatitis were relieved, the diseased part was removed by surgery, and the patient was cured and discharged. Clinicians should improve the understanding of relevant cases and their diagnosis and treatment to avoid misdiagnosis and treatment errors.

Key words:

Congenital choledochal cyst, Acute pancreatitis, Surgical treatment, Literature review