Lok A S, Lai C L, Wong K L, Lam W K
Med J Aust. 1986 Jul 7;145(1):36-7. doi: 10.5694/j.1326-5377.1986.tb113740.x.
A 60-year-old man with a history of ingesting herbal medication and a 59-year-old woman with malignant lymphoma presented with painless jaundice and palpably enlarged gall-bladders. Abdominal ultrasonography confirmed that the gall-bladders were enlarged, but showed normal-sized biliary trees with no stones. The final diagnoses for these patients were drug-induced hepatitis with intrahepatic cholestasis and lymphomatous infiltration of the liver, respectively. A palpable gall bladder in cholestatic jaundice may not always be caused by extrahepatic biliary obstruction, and ultrasonography is very useful in ruling this out.
一名有服用草药史的60岁男性和一名患有恶性淋巴瘤的59岁女性出现无痛性黄疸和可触及的胆囊肿大。腹部超声检查证实胆囊肿大，但显示胆管树大小正常且无结石。这两名患者的最终诊断分别为药物性肝炎伴肝内胆汁淤积和肝脏淋巴瘤浸润。胆汁淤积性黄疸时可触及的胆囊不一定总是由肝外胆管梗阻引起，超声检查对于排除这种情况非常有用。
