Tsitouridis John, Kouklakis Georgios, Xiarhos Panagiotis, Patakiuta Fotini
Department of Radiology and Gastroenterology, General Army Hospital of Thessaloniki, Thessaloniki, Greece.
Dig Endosc. 1998 Oct;10(4):323-326. doi: 10.1111/j.1443-1661.1998.tb00577.x.
We report a case of a 46-year-old man with a stricture of the bile duct which was caused by neuroma. The patient had a history of six months jaundice without a previous history of abdominal surgical operation. MR imaging and MRCP clearly picked up the dilatation of intrahepatic biliary ducts and the level of stenosis, but it was very difficult to differentiate benign neuroma from malignant stenosis of the common bile duct. Results of preoperative CT, MRI and ERCP evaluation and postoperative histological examination were presented.
我们报告一例46岁男性因神经瘤导致胆管狭窄的病例。该患者有6个月黄疸病史，既往无腹部手术史。磁共振成像（MR）和磁共振胰胆管造影（MRCP）清晰显示肝内胆管扩张及狭窄部位，但很难区分胆总管良性神经瘤与恶性狭窄。本文展示了术前CT、MRI及内镜逆行胰胆管造影（ERCP）评估结果以及术后组织学检查结果。
