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1. 嚢胞性線維症：肝胆道系疾患 cystic fibrosis hepatobiliary disease
2. 妊娠時の肝胆道系疾患併発 intercurrent hepatobiliary disease during pregnancy
3. 肝胆道のCT撮影 computed tomography of the hepatobiliary tract
4. 肝胆道の超音波検査 ultrasonography of the hepatobiliary tract
5. 妊娠中に発現した肝疾患に対するアプローチ approach to liver disease occurring during pregnancy

English Journal

Late hemorrhage after pancreatoduodenectomy and heavy ion beam therapy.

Takagi K, Takada T, Amano H, Yoshida M, Miura F, Isaka T, Toyoda N, Wada K, Kato K, Yamada S, Tsujii H.Author information Department of Surgery, Teikyo University Hospital, Tokyo 173-8606, Japan.AbstractThe patient was a 57-year-old man diagnosed with cancer of the pancreatic head. After treatment by heavy ion beam therapy, pylorus-preserving pancreatoduodenectomy was performed. The tumor was pT3, pN0, pM0, stage IIA. Sixteen months after the surgery, the patient was admitted to the hospital because he was vomiting blood. Hemorrhaging caused by failure of the cut end of the gastroduodenal artery into the elevated jejunum was confirmed by angiogram, and the hemorrhaging could be stopped by a transcatheter arterial embolization operation. Twenty-four months after surgery, the patient was readmitted because he was once again vomiting blood. Hemorrhaging from the elevated jejunum was suspected by hemorrhagic scintigram, but the source could not be identified on further examination, and the choice of treatment was difficult. The patient died on the 9th day after admittance to the hospital. Even on examination at autopsy, the source of the hemorrhaging could not be identified. No recurrence of cancer could be found. This has proven to be a perplexing case, in that hemorrhaging from the end of the routinely cut gastroduodenal artery occurred 16 and 24 months after heavy ion beam therapy and pylorus-preserving pancreatoduodenectomy for pancreatic cancer.
Journal of hepato-biliary-pancreatic surgery.J Hepatobiliary Pancreat Surg.2007;14(3):331-5. Epub 2007 May 29.
The patient was a 57-year-old man diagnosed with cancer of the pancreatic head. After treatment by heavy ion beam therapy, pylorus-preserving pancreatoduodenectomy was performed. The tumor was pT3, pN0, pM0, stage IIA. Sixteen months after the surgery, the patient was admitted to the hospital becaus
PMID 17520213

Emergent biliary drainage for choledochal cyst.

Ueno S, Hirakawa H, Yokoyama S, Imaizumi T, Makuuchi H.Author information Department of Pediatric Surgery, Tokai University School of Medicine, Bohseidai, Isehara-shi, Kanagawa 259-1193, Japan. ps-uenos@is.icc.u-tokai.ac.jpAbstractTwo patients with choledochal cyst who needed an emergent biliary drainage are presented. Case 1: Spontaneous rupture of the cyst was demonstrated by hepatobiliary scintigram in a 21-month-old girl and an emergent T-tube drainage relieved her symptom. Acute obstruction by protein plugs was considered to have caused rapid expansion of the cyst, which resulted in rupture eventually. Case 2: Marked hypoproteinemia was demonstrated in a 29-month-old boy with choledochal cyst. Bile drainage through Foley catheter promptly made the serum protein level elevated above normal range. Portal hypertension due to severely dilated cyst may have increased ascites amount, which caused extracellular fluid shift and protein to be lost into ascites. In both cases the excision of the extrahepatic bile duct and hepaticojejunostomy was carried out successfully later. Treatment of 20 pediatric cases in our institute and the literature were reviewed. Bile drainage would be safer in emergency condition even though it has been suggested that reconstructive surgery may be tolerable. Definitive surgery should be regarded as a procedure with some risk of postoperative complications because asymptomatic cases operated electively had serious ones. Treatment strategy of patients with choledochal cyst is not straightforward and should be arranged based upon their conditions.
The Tokai journal of experimental and clinical medicine.Tokai J Exp Clin Med.2005 Apr;30(1):1-6.
Two patients with choledochal cyst who needed an emergent biliary drainage are presented. Case 1: Spontaneous rupture of the cyst was demonstrated by hepatobiliary scintigram in a 21-month-old girl and an emergent T-tube drainage relieved her symptom. Acute obstruction by protein plugs was considere
PMID 15952291

Choledochal cysts: evaluation with MR cholangiography.

Govil S, Justus A, Korah I, Perakath A, Zachariah N, Sen S.Author information Department of Radiology, Christian Medical College and Hospital, Vellore, India.AbstractBACKGROUND: To determine where magnetic resonance (MR) cholangiography can accurately demonstrate the presence, extent, and type of choledochal cysts.
Abdominal imaging.Abdom Imaging.1998 Nov-Dec;23(6):616-9.
BACKGROUND: To determine where magnetic resonance (MR) cholangiography can accurately demonstrate the presence, extent, and type of choledochal cysts.METHODS: Ten patients with sonographically suspected choledochal cysts were evaluated with a non-breath-hold MR cholangiography technique. The presenc
PMID 9922196