Pelleya-Kouri R, Dusol M, Orta D, Clark R, Schiff E R
Arch Intern Med. 1976 Sep;136(9):1051-4. doi: 10.1001/archinte.1976.03630090073018.
In a case of cholangiocarcinoma involving the bifurcation of the common duct, the association with striking intermittence of jaundice and with signs of chronic liver disease presented a diagnostic enigma. Disappearance of jaundice does not rule out the diagnosis of bifurcation tumors and may be misleading. Adequate demonstration of the biliary tree, best achieved with percutaneous transhepatic cholangiography, is essential for early diagnosis of this entity.
在一例累及肝总管分叉处的胆管癌病例中，黄疸显著间歇性发作以及伴有慢性肝病体征的情况构成了一个诊断难题。黄疸消退并不能排除肝门部肿瘤的诊断，且可能会产生误导。经皮肝穿刺胆管造影术能最佳地充分显示胆管树，这对于该疾病的早期诊断至关重要。
