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鱼骨作为胆总管结石形成的核心：两例报告。

Fish bone as a nidus for stone formation in the common bile duct: report of two cases.

作者信息

Kim Young Hwan, Kim Yong Joo, Park Won Kyu, Lee Sang Kwon, Kwon Jung Hyeok, Woo Seong Ku

机构信息

Department of Diagnostic Radiology, Dongsan Medical Center, Keimyung University College of Medicine, Jung-gu, Taegu, Korea.

出版信息

Korean J Radiol. 2004 Jul-Sep;5(3):210-3. doi: 10.3348/kjr.2004.5.3.210.

DOI:10.3348/kjr.2004.5.3.210
PMID:15467418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2698163/
Abstract

We report two cases of common bile duct stone formed around a fish bone which migrated from the intestinal tract, along with their characteristic imaging findings. Two patients who had no history of previous operation were admitted because of cholangitis. Percutaneous transhepatic biliary drainage (PTBD) was performed and the cholangiogram showed filling defects with an unusually elongated shape in the common bile duct. After improvement of the cholangitic symptoms, the stones were removed through the PTBD tract under fluoroscopic guidance. A nidus consisting of a 1.5 cm sized fish bone was found in each stone removed.

摘要

我们报告两例鱼骨周围形成的胆总管结石病例，结石由肠道迁移而来，并阐述其特征性影像学表现。两名既往无手术史的患者因胆管炎入院。行经皮经肝胆道引流术（PTBD），胆管造影显示胆总管内有异常细长形状的充盈缺损。胆管炎症状改善后，在透视引导下通过PTBD通道取出结石。在每颗取出的结石中均发现一个由1.5厘米大小鱼骨构成的核心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce1/2698163/42c630d2a0dc/kjr-5-210-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce1/2698163/f1e86b0db6af/kjr-5-210-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce1/2698163/42c630d2a0dc/kjr-5-210-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce1/2698163/f1e86b0db6af/kjr-5-210-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce1/2698163/42c630d2a0dc/kjr-5-210-g002.jpg

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Pigment gallstone pathogenesis: slime production by biliary bacteria is more important than beta-glucuronidase production.色素性胆结石发病机制：胆汁细菌产生黏液比产生β-葡萄糖醛酸酶更重要。
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