一例表现为乳糜性腹水和乳糜胸的胆囊癌病例。

A case of gallbladder cancer manifesting chylous ascites and chylothorax.

作者信息

Shiina S, Ohshima M, Fujino H, Muto H, Yasuda H, Kawabe T, Tagawa K, Unuma T, Ibukuro K, Inoue Y

机构信息

Department of Gastroenterology, Mitsui Memorial Hospital, Tokyo, Japan.

出版信息

Gastroenterol Jpn. 1989 Apr;24(2):209-13. doi: 10.1007/BF02774199.

DOI:10.1007/BF02774199

PMID:2744338

Abstract

A case of gallbladder cancer manifesting both chylous ascites and chylothorax was reported. A 66-year-old man was hospitalized with milky ascites. The patient was diagnosed as having gallbladder cancer based on findings of endoscopic retrograde cholangiopancreatography (ERCP) and celiac angiography. The diagnosis of chylous ascites was confirmed by the presence of microscopically visible free fat and the biochemical analysis of the fluid. The patient also gradually developed chylous thoracic effusion. Autopsy revealed lymphogenous metastasis in multiple retroperitoneal and mediastinal nodes. Chylothorax and chyloperitoneum are relatively rare. Only five cases have been reported in Japan that manifested both conditions.

摘要

报告了一例同时表现为乳糜性腹水和乳糜胸的胆囊癌病例。一名66岁男性因乳糜性腹水入院。根据内镜逆行胰胆管造影（ERCP）和腹腔血管造影的结果，该患者被诊断为胆囊癌。通过显微镜下可见的游离脂肪的存在以及对液体的生化分析，证实了乳糜性腹水的诊断。该患者还逐渐出现了乳糜性胸腔积液。尸检显示在多个腹膜后和纵隔淋巴结有淋巴源性转移。乳糜胸和乳糜腹相对罕见。在日本仅报告了5例同时出现这两种情况的病例。