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- W2312790838 abstract "患者は62歳の女性で，上腹部痛と背部痛を認め受診した．USで拡張した肝外胆管内の結石および胆囊内結石，造影CTで総肝管を中心に囊状に拡張した肝外胆管を認めた．ERCPと超音波内視鏡検査で膵・胆管合流異常を認めなかった．通常の胆道造影で肝内胆管と囊状に拡張した肝外胆管の合流形態を詳細に評価することはできず，内視鏡的経鼻胆道ドレナージチューブからの胆道造影とmulti-detecter row CTを用いて3D-cholangiogramを構築した．これにより右葉胆管枝は前上腹側枝および前下区域枝の共通管，前上外側枝および背側枝の共通管，南回りの後区域枝の計3本で拡張胆管に合流し，左葉胆管枝は外側区域枝，内側区域枝の2本で拡張胆管に合流していることが明らかとなった．膵・胆管合流異常を認めない戸谷Ia型の先天性胆道拡張症と診断し，胆囊および肝外胆管の切除と肝管空腸Roux-en-Y吻合を行った．" @default.
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- W2312790838 date "2012-01-01" @default.
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- W2312790838 title "3D-cholangiography via an Endoscopic Nasobiliary Drainage Tube for Preoperative Evaluation of a Cystic Dilatation of the Bile Duct" @default.
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- W2312790838 doi "https://doi.org/10.5833/jjgs.45.897" @default.
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