Delis Spiros G, Bakoyiannis Andreas, Triantopoulou Charikleia, Paraskeva Kostantina, Athanassiou Kostas, Dervenis Christos
Liver Surgical Unit, Agia Olga Hospital, Athens, Greece.
Case Rep Gastroenterol. 2008 May 24;2(2):162-9. doi: 10.1159/000129600.
Although jaundice rarely complicates polycystic liver disease (PLD), secondary benign or malignant causes cannot be excluded. In a 72-year-old female who presented with increased abdominal girth, dyspnea, weight loss and jaundice, ultrasound and computed tomography confirmed the diagnosis of PLD by demonstrating large liver cysts causing extrahepatic bile duct compression. Percutaneous cyst aspiration failed to relief jaundice due to distal bile duct cholangiocarcinoma, suspected by magnetic resonance cholangiopancreatography (MRCP) and confirmed by endoscopic retrograde cholangiopancreatography (ERCP). Coexistence of PLD with distal common bile duct cholangiocarcinoma has not been reported so far.
尽管黄疸很少使多囊肝病（PLD）复杂化，但不能排除继发性良性或恶性病因。在一名出现腹围增加、呼吸困难、体重减轻和黄疸的72岁女性中，超声和计算机断层扫描通过显示导致肝外胆管受压的大肝囊肿确诊为PLD。经皮囊肿穿刺抽吸未能缓解黄疸，磁共振胰胆管造影（MRCP）怀疑存在远端胆管胆管癌，并经内镜逆行胰胆管造影（ERCP）证实。目前尚未报道PLD与远端胆总管胆管癌并存的情况。
