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一名囊性纤维化患者出现的假阳性肝胆扫描。

A false-positive hepatobiliary scan in a patient with cystic fibrosis.

作者信息

Lane J I, Sacks D, Winn R S, Kershner M S

机构信息

Reading Hospital and Medical Center, Pennsylvania 19603.

出版信息

Clin Nucl Med. 1988 May;13(5):331-3. doi: 10.1097/00003072-198805000-00004.

DOI:10.1097/00003072-198805000-00004
PMID:3390976
Abstract

A case of nonvisualization of the gallbladder in an adult patient with cystic fibrosis in the absence of acute cholecystitis is reported. Delayed images to 20 hours showed persistent nonvisualization. Review of the literature on cystic fibrosis suggests that nonvisualization of the gallbladder may be secondary to inspissated mucus rather than acute cholecystitis, and therefore a positive hepatobiliary scan in these patients should be interpreted with caution.

摘要

报告了一例成年囊性纤维化患者胆囊不显影且无急性胆囊炎的病例。延迟至20小时的影像显示胆囊持续不显影。对囊性纤维化相关文献的回顾表明,胆囊不显影可能继发于浓稠黏液而非急性胆囊炎,因此对这些患者的肝胆扫描结果应谨慎解读。

相似文献

1
A false-positive hepatobiliary scan in a patient with cystic fibrosis.一名囊性纤维化患者出现的假阳性肝胆扫描。
Clin Nucl Med. 1988 May;13(5):331-3. doi: 10.1097/00003072-198805000-00004.
2
Contracted gallbladder: a cause of false-positive hepatobiliary scan in patients with cystic fibrosis.
Eur J Nucl Med. 1996 May;23(5):595-7. doi: 10.1007/BF00833399.
3
Two false-negative results using morphine sulfate in hepatobiliary imaging.
Clin Nucl Med. 1989 Feb;14(2):87-8. doi: 10.1097/00003072-198902000-00003.
4
Hepatobiliary scanning in hemobilia-induced acute cholecystitis.
Gastrointest Radiol. 1982;7(2):169-71. doi: 10.1007/BF01887633.
5
Hepatobiliary imaging.肝胆成像。
Curr Opin Radiol. 1991 Dec;3(6):851-8.
6
The diagnosis of acute complicated cholecystitis by Tc-99m sulfur colloid liver imaging.利用锝-99m硫胶体肝脏显像诊断急性复杂性胆囊炎。
Clin Nucl Med. 1990 Apr;15(4):240-2. doi: 10.1097/00003072-199004000-00006.
7
[The usefulness of the emergency hepatobiliary scintigraphy to rule out acute cholecystitis--43 patients report].[急诊肝胆闪烁显像排除急性胆囊炎的实用性——43例患者报告]
Kaku Igaku. 1992 Aug;29(8):1013-8.
8
Congenital absence of the gallbladder: another cause of false-positive hepatobiliary image.先天性胆囊缺如:肝胆影像假阳性的另一个原因。
J Nucl Med. 1984 Jan;25(1):70-2.
9
The value of hepatobiliary scans in fasted patients receiving total parenteral nutrition.
Surgery. 1987 Oct;102(4):595-601.
10
Hepatobiliary scintigraphy: morphine-augmented versus delayed imaging in patients with suspected acute cholecystitis.肝胆闪烁显像:疑似急性胆囊炎患者的吗啡增强显像与延迟显像
J Nucl Med. 1993 Mar;34(3):506-9.

引用本文的文献

1
Contracted gallbladder: a cause of false-positive hepatobiliary scan in patients with cystic fibrosis.
Eur J Nucl Med. 1996 May;23(5):595-7. doi: 10.1007/BF00833399.