UGC Aparato Digestivo, Hospital Universitario San Cecilio de Granada, España.
UGC Aparato Digestivo, Hospital Universitario Clínico San Cecilio, España.
Rev Esp Enferm Dig. 2021 Feb;113(2):149-150. doi: 10.17235/reed.2020.7154/2020.
We present the case of a 79-year-old male who underwent endoscopic retrograde cholangiopancreatography (ERCP) after cholangitis. The papilla was rigid and the biliary tract was dilated with sharpening of the distal bile duct, with no obvious cause. There was no bile flow after sphincterotomy, no stone after sweeping the duct with a balloon and the brush did not expand properly when trying to obtain cytologic material. Finally, a plastic stent was placed and purulent bile flowed. Biopsies of the papilla were taken due to the suspicion of tumor infiltration. The next day, the patient had pain in the right upper quadrant and blood tests highlighted mild anemization.
我们报告了一例 79 岁男性，因胆管炎而行内镜逆行胰胆管造影（ERCP）。乳头坚硬，胆管扩张，远端胆管变细，无明显原因。括约肌切开后无胆汁流出，球囊清扫胆管后无结石，刷检时刷子不能正常扩张以获取细胞学标本。最后放置了塑料支架，有脓性胆汁流出。由于怀疑肿瘤浸润，对乳头进行了活检。第二天，患者右上腹疼痛，血液检查显示轻度贫血。
