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放射性核素肝胆显像检测十二指肠溃疡穿孔所致腹腔胆汁漏

Cholescintigraphic detection of intraperitoneal bile leakage from a perforated duodenal ulcer.

作者信息

Westley K A, Straub W H, Keyes J W

机构信息

Department of Diagnostic Radiology, Midland Hospital Center, Michigan.

出版信息

Clin Nucl Med. 1987 Oct;12(10):781-2. doi: 10.1097/00003072-198710000-00003.

Abstract

A 66-year-old woman with known gallstones and peptic ulcer disease presented with acute epigastric pain. Cholescintigraphy revealed nonvisualization of the gallbladder with subhepatic and perihepatic accumulation of tracer. An upper gastrointestinal examination with water-soluble contrast revealed a perforated duodenal ulcer, with leakage confirmed at laparotomy. The gallbladder was intact.

摘要

一名患有胆结石和消化性溃疡病的66岁女性出现急性上腹部疼痛。胆囊闪烁扫描显示胆囊未显影,示踪剂在肝下和肝周积聚。水溶性造影剂上消化道检查显示十二指肠溃疡穿孔,剖腹手术证实有渗漏。胆囊完好无损。

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