Allison M C, Milkins S, Burroughs A K, Rogers H S, Thomas H C
Academic Department of Medicine, Royal Free Hospital, London, UK.
Postgrad Med J. 1987 Apr;63(738):291-4. doi: 10.1136/pgmj.63.738.291.
We describe a patient presenting with painless jaundice, anorexia and pruritus. The gall bladder was found to be lying above and behind a hypoplastic right lobe of liver. There was no evidence of cholangitis or biliary obstruction. The patient subsequently developed a bronchobiliary fistula with severe wheeze, cough and bile-stained sputum. Emergency percutaneous drainage of the gall bladder led to immediate cessation of bronchospasm and biloptysis, rendering the patient fit for definitive surgery.
我们描述了一位出现无痛性黄疸、厌食和瘙痒症状的患者。发现胆囊位于发育不全的肝右叶上方及后方。没有胆管炎或胆道梗阻的证据。该患者随后出现了支气管胆管瘘，伴有严重喘息、咳嗽和胆汁染色痰液。急诊经皮胆囊引流导致支气管痉挛和咯胆汁立即停止，使患者适合进行确定性手术。
