Rabast U, Padel T, Rammert H, Helwing E, Klinge O
Innere Abteilung, St. Elisabeth-Krankenhaus, Hattingen.
Dtsch Med Wochenschr. 1989 Jun 2;114(22):866-70. doi: 10.1055/s-2008-1066686.
Biliary obstruction of uncertain aetiology in a 69-year-old women led to a cholecystectomy and exploration of the bile tract: a nearly complete cast of the hepatic ducts and intrahepatic bile ducts was extracted. Histological examination of the gall bladder and liver biopsy failed to provide a diagnosis, but a bile duct biopsy taken at the time of an endoscopic retrograde cholangiography revealed the diagnosis of papillomatosis. This disease has a poor prognosis because there is no known cure.
一名69岁女性因病因不明的胆道梗阻接受了胆囊切除术并探查了胆道：术中取出了几乎完整的肝管和肝内胆管铸型。胆囊组织学检查和肝脏活检未能明确诊断，但在内镜逆行胆管造影时采集的胆管活检确诊为乳头状瘤病。这种疾病预后较差，因为尚无已知的治愈方法。
