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[因自发性包虫囊肿破裂导致胆管扩张伴黄疸的内镜逆行胰胆管造影术。诊断、鉴别诊断、治疗及结果]

[ERCP in bile duct dilatation with jaundice due to spontaneous hydatid cyst rupture. Diagnosis, differential diagnosis, therapy and result].

作者信息

Meier R, Nadjafi S, Thumshirn M, Marcus G, Jubin E, Kamber S, Wegmann W, Gyr K

机构信息

Medizinische Klinik, Kantonsspital, Liestal.

出版信息

Schweiz Rundsch Med Prax. 1990 Apr 10;79(15):443-7.

PMID:2186461
Abstract

We report the case of a 17 years old Turkish patient hospitalized for colics and jaundice. Ultrasound, computer tomography and ERC showed enlarged intra- and extrahepatic bile ducts. The further investigations documented the rupture of a hepatic hydatid cyst into the biliary tract with obstructive jaundice. Other causes of jaundice as cystic duct malformation, calculi, tumours could be ruled out by surgery and histology. Etiology, diagnosis and treatment of hydatid jaundice are discussed.

摘要

我们报告了一名17岁土耳其患者因绞痛和黄疸住院的病例。超声、计算机断层扫描和内镜逆行胰胆管造影显示肝内和肝外胆管扩张。进一步检查证实肝包虫囊肿破裂进入胆道并导致梗阻性黄疸。手术和组织学检查排除了黄疸的其他原因,如胆囊管畸形、结石、肿瘤等。本文讨论了包虫性黄疸的病因、诊断和治疗。

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