• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

急性梗阻性胆总管结石:一例影像学检查中难以发现胆结石的病例。

Acute Obstructive Choledocholithiasis: A Case of Elusive Gallstones on Imaging.

作者信息

Dziadkowiec Karolina N, Simms Larnelle N, Smith Sweet Gerlie A, Katz Aviv, Olowe Kayode

机构信息

Internal Medicine, University of Miami, John F. Kennedy Regional Campus, West Palm Beach, USA.

Internal Medicine, University of Miami, John F. Kennedy Regional Campus, Atlantis, USA.

出版信息

Cureus. 2020 Jun 7;12(6):e8489. doi: 10.7759/cureus.8489.

DOI:10.7759/cureus.8489
PMID:32656007
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7343315/
Abstract

Acute choledocholithiasis results when stones form in the gallbladder and then pass into the common bile duct, where they may become lodged and cause obstruction. To our knowledge, very few cases are reported in which multiple imaging techniques had failed to detect the presence of gallstones, as per current literature review. We report a case of a 73-year-old woman with nausea, vomiting, and jaundice who was found to have choledocholithiasis with negative imaging on abdominal ultrasound (US), CT, and magnetic resonance cholangiopancreatography (MRCP).

摘要

急性胆总管结石病是指结石在胆囊中形成,然后进入胆总管,在胆总管中可能会嵌顿并导致梗阻。据我们所知,根据目前的文献综述,很少有病例报告称多种成像技术未能检测到胆结石的存在。我们报告一例73岁女性患者,有恶心、呕吐和黄疸症状,经腹部超声(US)、CT和磁共振胰胆管造影(MRCP)检查发现患有胆总管结石病,但成像结果为阴性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a47a/7343315/21da30c10ecf/cureus-0012-00000008489-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a47a/7343315/21da30c10ecf/cureus-0012-00000008489-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a47a/7343315/21da30c10ecf/cureus-0012-00000008489-i01.jpg

相似文献

1
Acute Obstructive Choledocholithiasis: A Case of Elusive Gallstones on Imaging.急性梗阻性胆总管结石:一例影像学检查中难以发现胆结石的病例。
Cureus. 2020 Jun 7;12(6):e8489. doi: 10.7759/cureus.8489.
2
Diagnostic value of magnetic resonance cholangiopancreatography to detect bile duct stones in acute biliary pancreatitis.磁共振胰胆管成像对急性胆源性胰腺炎胆管结石的诊断价值。
Pancreatology. 2018 Jan;18(1):22-28. doi: 10.1016/j.pan.2017.12.004. Epub 2017 Dec 9.
3
Is preoperative MRCP necessary for patients with gallstones? An analysis of the factors related to missed diagnosis of choledocholithiasis by preoperative ultrasound.胆结石患者术前是否需要进行磁共振胰胆管造影(MRCP)?术前超声检查胆总管结石漏诊相关因素分析。
BMC Gastroenterol. 2015 Nov 14;15:158. doi: 10.1186/s12876-015-0392-1.
4
The diagnostic accuracy of magnetic resonance cholangiopancreatography and ultrasound compared with direct cholangiography in the detection of choledocholithiasis.磁共振胰胆管造影术和超声检查与直接胆管造影术在检测胆总管结石方面的诊断准确性比较。
Clin Radiol. 1999 Sep;54(9):604-14. doi: 10.1016/s0009-9260(99)90023-5.
5
[Accuracy of magnetic resonance cholangiopancreatography for the diagnosis of common bile duct stones].[磁共振胰胆管造影术诊断胆总管结石的准确性]
Rev Med Chil. 2008 May;136(5):600-5. Epub 2008 Jul 30.
6
CT vs. MRCP in choledocholithiasis jaundice.CT与磁共振胰胆管造影(MRCP)在胆总管结石性黄疸中的比较
J Med Life. 2015 Apr-Jun;8(2):226-31.
7
Dynamic liver test patterns do not predict bile duct stones.动态肝功能试验模式不能预测胆管结石。
Surg Endosc. 2019 Oct;33(10):3300-3313. doi: 10.1007/s00464-018-06620-x. Epub 2019 Mar 25.
8
Diagnostic accuracy of magnetic resonance cholangiopancreatography and ultrasound compared with direct cholangiography in the detection of choledocholithiasis.磁共振胰胆管造影和超声与直接胆管造影在检测胆总管结石方面的诊断准确性比较。
Clin Radiol. 2000 Jan;55(1):25-35. doi: 10.1053/crad.1999.0319.
9
Accuracy of magnetic resonance cholangiography compared to operative endoscopy in detecting biliary stones, a single center experience and review of literature.磁共振胆胰管造影术与手术内镜检查在检测胆石症方面的准确性:单中心经验及文献综述
World J Radiol. 2015 Apr 28;7(4):70-8. doi: 10.4329/wjr.v7.i4.70.
10
Biliary plastic stent as a matrix core for lithogenesis in the common bile duct: a rare cause of jaundice.胆管塑料支架作为胆总管结石形成的基质核心:黄疸的罕见病因。
J Gastrointestin Liver Dis. 2012 Dec;21(4):427-9.

本文引用的文献

1
Prevalence of Cholelithiasis and Choledocholithiasis in Morbidly Obese South Indian Patients and the Further Development of Biliary Calculus Disease After Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass.病态肥胖的南印度患者中胆结石和胆总管结石的患病率以及袖状胃切除术、胃旁路手术和迷你胃旁路手术后胆石症的进一步发展
Obes Surg. 2016 Oct;26(10):2411-7. doi: 10.1007/s11695-016-2113-4.
2
Clinical presentation and delayed treatment of cholangitis in older people.老年人胆管炎的临床表现及延迟治疗
Dig Dis Sci. 2005 Dec;50(12):2207-10. doi: 10.1007/s10620-005-3035-5.
3
Magnetic resonance cholangiopancreatography accurately detects common bile duct stones in resolving gallstone pancreatitis.
磁共振胰胆管造影术能准确检测出正在消退的胆石性胰腺炎患者的胆总管结石。
J Am Coll Surg. 2005 Jun;200(6):869-75. doi: 10.1016/j.jamcollsurg.2005.02.028.
4
Patient evaluation and management with selective use of magnetic resonance cholangiography and endoscopic retrograde cholangiopancreatography before laparoscopic cholecystectomy.在腹腔镜胆囊切除术之前,通过选择性使用磁共振胰胆管造影和内镜逆行胰胆管造影进行患者评估和管理。
Ann Surg. 2001 Jul;234(1):33-40. doi: 10.1097/00000658-200107000-00006.
5
Prevalence and ethnic differences in gallbladder disease in the United States.美国胆囊疾病的患病率及种族差异。
Gastroenterology. 1999 Sep;117(3):632-9. doi: 10.1016/s0016-5085(99)70456-7.
6
Detection of choledocholithiasis: comparison of unenhanced helical CT and endoscopic retrograde cholangiopancreatography.胆总管结石的检测:非增强螺旋CT与内镜逆行胰胆管造影的比较
Radiology. 1997 Jun;203(3):753-7. doi: 10.1148/radiology.203.3.9169700.
7
Complications of endoscopic biliary sphincterotomy.内镜下胆管括约肌切开术的并发症。
N Engl J Med. 1996 Sep 26;335(13):909-18. doi: 10.1056/NEJM199609263351301.