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肝门部胆总管囊肿在肝胆闪烁显像上酷似胆道闭锁：一例报告

Hilar Choledochal Cyst Mimicking Biliary Atresia on Hepatobiliary Scintigraphy: a Case Report.

作者信息

Kim Il-Hyun, An Young-Sil, Lee Su Jin, Hong Jeong, Yoon Joon-Kee

机构信息

Department of Nuclear Medicine & Molecular Imaging, Ajou University School of Medicine, Worldcup-ro 164, Suwon, Kyunggi-do 16499 Republic of Korea.

Department of Surgery, Ajou University School of Medicine, Worldcup-ro 164, Suwon, Kyunggi-do 16499 Republic of Korea.

出版信息

Nucl Med Mol Imaging. 2021 Apr;55(2):96-99. doi: 10.1007/s13139-021-00688-5. Epub 2021 Feb 17.

DOI:10.1007/s13139-021-00688-5
PMID:33968276
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8053738/
Abstract

Hepatobiliary scintigraphy has been widely used for the differential diagnosis of neonatal cholestasis. Relatively good hepatic uptake with no evidence of excretion into the bowel for up to 24 h is a representative finding of biliary atresia. Hepatobiliary scintigraphy has very high sensitivity and moderate specificity. Here, we report a false-positive case of hepatobiliary scintigraphy in a child with a choledochal cyst, which mimicked biliary atresia.

摘要

肝胆闪烁显像已广泛用于新生儿胆汁淤积的鉴别诊断。肝脏摄取相对良好，但长达24小时无排入肠道的证据是胆道闭锁的典型表现。肝胆闪烁显像具有很高的敏感性和中等的特异性。在此，我们报告一例胆总管囊肿患儿的肝胆闪烁显像假阳性病例，该病例酷似胆道闭锁。

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本文引用的文献

1
Cystic biliary atresia: A distinct clinical entity that may mimic choledochal cyst.胆囊闭锁：一种可能酷似胆总管囊肿的独特临床实体。
Radiol Case Rep. 2018 Feb 9;13(2):415-418. doi: 10.1016/j.radcr.2018.01.025. eCollection 2018 Apr.
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Hepato-biliary Scintigraphy in diagnosis of Biliary Atresia.肝胆闪烁显像在胆道闭锁诊断中的应用
Med J Armed Forces India. 2006 Jan;62(1):20-1. doi: 10.1016/S0377-1237(06)80146-2. Epub 2011 Jul 21.
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Neonatal Cholestasis - Differential Diagnoses, Current Diagnostic Procedures, and Treatment.新生儿胆汁淤积症 - 鉴别诊断、当前诊断程序和治疗。
Front Pediatr. 2015 Jun 17;3:43. doi: 10.3389/fped.2015.00043. eCollection 2015.
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Extra Hepatic Biliary Atresia associated with Choledochal Cyst: A Challenging Neonatal Obstructive Jaundice.肝外胆管闭锁合并胆总管囊肿：一种具有挑战性的新生儿梗阻性黄疸。
J Neonatal Surg. 2014 Apr 1;3(2):20. eCollection 2014 Apr-Jun.
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Diagnosis and management of choledochal cysts.胆管囊肿的诊断与管理
Indian J Surg. 2012 Oct;74(5):401-6. doi: 10.1007/s12262-012-0426-7. Epub 2012 Mar 22.
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Choledochal cysts : a review of literature.胆管囊肿：文献综述。
Saudi J Gastroenterol. 2012 Jul-Aug;18(4):230-6. doi: 10.4103/1319-3767.98425.
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Objective differential characteristics of cystic biliary atresia and choledochal cysts in neonates and young infants: sonographic findings.目的：新生儿和婴儿胆管囊性扩张症与胆总管囊肿的超声表现的差异特征。
J Ultrasound Med. 2012 Jun;31(6):833-41. doi: 10.7863/jum.2012.31.6.833.
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Making the diagnosis of biliary atresia using the triangular cord sign and gallbladder length.利用三角索带征和胆囊长度诊断胆道闭锁。
Pediatr Radiol. 2000 Feb;30(2):69-73. doi: 10.1007/s002470050017.
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Choledochal cyst with or without biliary atresia in neonates and young infants: US differentiation.新生儿和幼儿胆总管囊肿伴或不伴胆道闭锁：超声鉴别诊断
Radiology. 1998 Nov;209(2):465-9. doi: 10.1148/radiology.209.2.9807575.
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J Nucl Med. 1998 Feb;39(2):311-9.