How to treat intrahepatic choledochal dilatation?

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In our daily life, we all know the changes of intrahepatic choledochectasis. Disease is a common situation in our life. However, we should have a good living habit, and there are many kinds of diseases. No matter what kind of disease, we need to pay enough attention to it. Some friends will have choledochectasis So, how to treat common bile duct dilatation? Now let's have a look.

How to treat intrahepatic choledochal dilatation?

First, choledochectasis is a common congenital biliary malformation, which was previously considered to be a lesion confined to the common bile duct, so it is called congenital choledochal cyst. In 1958, Caroli first described multiple cystic dilatation of the intrahepatic peripheral bile duct. Therefore, congenital intrahepatic bile duct dilatation, also known as Caroli's disease, belongs to congenital cystic fibrosis of the liver. It is considered to be autosomal recessive inheritance, mainly in men, and mainly in children and young people.

Second: the cases reported in the early years were not accompanied by hepatic fibrosis and portal hypertension, but in the later reports, 2 / 3 cases were accompanied by congenital hepatic fibrosis, and often accompanied by various renal diseases, such as polycystic kidney, and late cases complicated with cirrhosis and portal hypertension. According to Sherlock classification, it can be divided into four categories: congenital hepatic fibrosis, congenital intrahepatic bile duct dilatation, congenital choledochectasis and congenital hepatic cyst.

Third: there may be one or more lesions in the hepatobiliary system at the same time. This disease is characterized by intrahepatic bile duct dilatation and cholestasis, which lead to bile duct inflammation and stones. However, due to the atypical clinical symptoms, it can occur at any age, with recurrent right upper abdominal pain, fever and jaundice. In the onset of liver swelling, after infection control, with the improvement of symptoms, the liver will often shrink faster. The liver function damage is not proportional to the clinical symptoms. Cholecystitis or liver abscess is often diagnosed at the initial stage of the disease. If there are congenital liver fibrosis or extrahepatic bile duct dilatation and other fibrocystic lesions, the symptoms are more complex, including cirrhosis, extrahepatic bile duct obstruction and urinary tract infection. Often can not make a diagnosis, often have to wait for surgical treatment to make a diagnosis. In recent years, due to the application of ultrasound imaging and various diagnostic methods such as cholangiography, the correct diagnosis of intrahepatic lesions can be obtained, so the case reports are increasing day by day. However, the concept of Caroli's disease is confused because the secondary biliary dilatation caused by compression of other reasons is often included.

matters needing attention

To prevent and treat cholangitis as the main method, long-term application of broad-spectrum antibiotics, but the treatment effect is generally not satisfactory. Because of the wide range of lesions, surgical treatment is often unsuccessful. If the lesion is limited to one lobe, hepatectomy is feasible, but it is reported that less than 1 / 3 cases can be resected. The long-term prognosis is very poor.