Hepatobiliary Surgery, Hospital Universitari de Bellvitge, Perú.
Hapatobiliary Surgery, Hospital Universitari de Bellvitge.
Rev Esp Enferm Dig. 2023 Dec;115(12):729-731. doi: 10.17235/reed.2023.9562/2023.
A 74-year-old female was admitted for painless jaundice. Laboratory tests showed hyperbilirubinemia, cholestasis, normal coagulation, and Ca19-9:163U/L. The CT-scan reported dilation of the intrahepatic and extrahepatic bile ducts secondary to a 24mm tumor in the intrapancreatic common bile duct. The magnetic cholangioresonance showed multiple endoluminal polypoid lesions, suggestive of intraductal papillary neoplasm of the bile duct (IPNB). The endoscopic bile duct brushing was non-conclusive.
一位 74 岁女性因无痛性黄疸入院。实验室检查显示高胆红素血症、胆汁淤积、凝血功能正常和 Ca19-9：163U/L。CT 扫描显示肝内和肝外胆管扩张，继发于胰内胆总管 24mm 肿瘤。磁共振胆胰管成像显示多个腔内息肉样病变，提示胆管内乳头状肿瘤（IPNB）。内镜下胆管刷检结果不确定。
