Fernández Fernández L, López García C, Roig García J, Gómez Portilla A, Pellicer Espligares J L, Tieso Herreros A, Yagüe Pérez S
Rev Esp Enferm Apar Dig. 1989 Oct;76(4):385-8.
We present a case of extrahepatic biloma in a patient who was an emergency admission to the hospital and had a clinical pattern of obstructive jaundice secondary to choledocholithiasis. The diagnosis was made by echography and needle aspiration (PAAF). Due to the unfavorable evolution of the patient in the 48 hours after admission, she underwent surgery, which confirmed the diagnosis. Cholecystectomy was performed, with removal of the choledochal gallstone and side-to-side choledochoduodenostomy, and the postoperative evolution was satisfactory. We review the pathophysiologic characteristics of this entity and its etiology, symptomatology, diagnosis and treatment.
我们报告一例肝外胆汁瘤病例，患者因胆总管结石继发梗阻性黄疸而紧急入院。诊断通过超声检查和针吸活检（PAAF）做出。由于患者入院后48小时病情进展不利，遂接受手术，手术证实了诊断。实施了胆囊切除术，取出胆总管结石并行胆总管十二指肠侧侧吻合术，术后恢复情况良好。我们回顾了该疾病的病理生理特征及其病因、症状、诊断和治疗方法。
