一例节段性原发性硬化性胆管炎病例。

A case of segmental primary sclerosing cholangitis.

作者信息

Ito H, Imada T, Rino Y, Kondo J

机构信息

First Department of Surgery, Yokohama City University School of Medicine, Japan.

出版信息

Hepatogastroenterology. 2000 Jan-Feb;47(31):128-31.

PMID:10690594

Abstract

A 74-year-old man was admitted to the Yokohama City University School of Medicine for investigation of high values of ALP and Y-GTP. Radiographic examinations, including abdominal computed tomography and percutaneous transhepatic cholangiography, strongly suggested bile duct cancer in the hepatic hilus. After left lobectomy, pathological examination disclosed segmental primary sclerosing cholangitis. Clinical examination cannot always distinguish primary sclerosing cholangitis from cancer. We report a case of segmental primary sclerosing cholangitis and discuss the diagnosis and the treatment of this disease.

摘要

一名74岁男性因碱性磷酸酶（ALP）和γ-谷氨酰转肽酶（Y-GTP）值升高入住横滨市立大学医学院进行检查。包括腹部计算机断层扫描和经皮经肝胆管造影在内的影像学检查强烈提示肝门部胆管癌。左叶切除术后，病理检查发现为节段性原发性硬化性胆管炎。临床检查并不总能将原发性硬化性胆管炎与癌症区分开来。我们报告一例节段性原发性硬化性胆管炎病例，并讨论该疾病的诊断和治疗。