总胆管囊肿系肝外胆管下段的囊性扩张,属先天性疾病。本文收集四例,均经手术证实,现报道如下: 例1,女,16岁。住院号62096。主诉右上腹肿块伴间断畏冷发热三年余。查体:全身皮肤及巩膜无黄染,腹部膨隆,中上腹可触及一16×16×10厘米之巨大肿物,中等硬度,不活动,腹壁静脉轻度曲张。 Total cystic duct cyst extrahepatic bile duct cystic dilatation, is a congenital disease. This article collected four cases, both confirmed by surgery, are reported as follows: Example 1, female, 16 years old. Hospital number 62096. Chief complaint of the right upper quadrant mass with intermittent chills more than three years. Physical examination: whole body skin and sclera without yellow dye, abdominal bulging, the middle abdomen can reach a huge 16 × 16 × 10 cm tumor, moderate hardness, inactivity, mild abdominal varicose veins.