Coatmeur Olivier, Rassiat Emmanuel, Bonniaud Pierre, Jouve Jean-Louis, Minello Anne, Bedenne Laurent, Faivre Jean, Hillon Patrick
Service d'Hépato-Gastroentérologie, Hôpital du Bocage, CHU Dijon, boulevard De-Lattre-de-Tassigny, 21000 Dijon.
Ann Med Interne (Paris). 2003 Dec;154(8):547-8.
We report the case of a 49-Year-old-man with primary sclerosis cholangitis (PSC) and ulcerative colitis who developed two acute episodes of pseudo-angiocholitis. Both episodes were triggered by septic hepatitis translocated from ulcerative colonic adenocarcinoma. The biliary MRI did not show any signs of lithiasis or cholangiocarcinoma. cholangiocarcinoma, intra-hepatic lithiasis and colonic cancer are potential diagnoses in patients with PSC who develop angiocholitis.
我们报告了一例患有原发性硬化性胆管炎(PSC)和溃疡性结肠炎的49岁男性患者,该患者发生了两次假性血管胆管炎急性发作。两次发作均由溃疡性结肠腺癌转移引起的败血症性肝炎触发。胆道磁共振成像(MRI)未显示任何结石或胆管癌迹象。胆管癌、肝内结石和结肠癌是发生血管胆管炎的PSC患者的潜在诊断。