Deimel A, Sturm J, Vielfort T, Zöpf T
ZEuS (Zentrum für Endoskopie und Ultraschall), Medizinische Klinik I, ViDiA Christliche Kliniken Karlsruhe, Diakonissenstr. 28, 76199, Karlsruhe, Deutschland.
Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, ViDiA Christliche Kliniken Karlsruhe, Diakonissenstraße 28, 79166 Karlsruhe, Deutschland.
Internist (Berl). 2018 Mar;59(3):276-281. doi: 10.1007/s00108-017-0320-2.
A 44-year-old Filipino woman presented with abdominal pain and fever. Clinical examination and blood tests revealed no pathological results; however, (cross-sectional) imaging showed saccular cystic bile duct dilatation in the right liver with solid intraductal masses. Due to the clinical presentation the patient was admitted for surgical intervention with the diagnosis of Caroli disease. During the surgical procedure histopathology showed an intraductal papillary neoplasm of the bile duct (IPNB). The planned segmentetomy was extended to hemihepatectomy. IPNB is a rare entity of premalignant lesions of the bile duct system first recognized by the World Health Organization in 2010.
一名44岁的菲律宾女性因腹痛和发热前来就诊。临床检查和血液检测未发现病理结果；然而，（横断面）影像学检查显示右肝内囊状胆管扩张，伴有胆管内实性肿块。鉴于临床表现，患者因卡罗里病的诊断入院接受手术干预。手术过程中，组织病理学显示为胆管内乳头状肿瘤（IPNB）。原计划的节段性肝切除术扩大为半肝切除术。IPNB是胆管系统癌前病变的一种罕见类型，于2010年首次被世界卫生组织认可。
