McCollum W B, Jordan P H
Ann Surg. 1975 Aug;182(2):116-20. doi: 10.1097/00000658-197508000-00005.
Jaundice occurring in patients with pancreatitis is usually due to hepatocellular injury or to associated biliary tract disease. Common duct obstruction is occasionally caused by pancreatic fibrosis, edema or pseudocyst in patients who have neither hepatocellular injury nor biliary tract disease. We have studied 7 patients with obstructive jaundice due to pancreatitis who demonstrated no other known cause for jaundice. The difficulty in making the differential diagnosis between benign and malignant disease in these patients, particularly when no pain is associated with obstructive jaundice, is discussed. In view of the fact that the terminal common duct traverses the pancreas, it is uncertain why obstructive jaundice associated with chronic pancreatitis does not occur more often unless the condition is sometimes transient and overlooked. Operative intervention is required in those patients in whom jaundice is persistent. Operation is intended to decompress the biliary tract and the pancreas. The approach used will be dictated by the operative findings in each patient.
胰腺炎患者出现黄疸通常是由于肝细胞损伤或相关的胆道疾病。在既没有肝细胞损伤也没有胆道疾病的患者中，胆总管梗阻偶尔是由胰腺纤维化、水肿或假性囊肿引起的。我们研究了7例因胰腺炎导致梗阻性黄疸且无其他已知黄疸病因的患者。讨论了在这些患者中鉴别良性和恶性疾病的困难，尤其是当梗阻性黄疸不伴有疼痛时。鉴于胆总管末端穿过胰腺，除非这种情况有时是短暂的且被忽视，否则不清楚为什么与慢性胰腺炎相关的梗阻性黄疸不更常发生。对于黄疸持续的患者需要进行手术干预。手术旨在使胆道和胰腺减压。所采用的方法将取决于每个患者的手术发现。
