Warner C, Densler J, Meadows W, Godwin J
J Natl Med Assoc. 1986 Oct;78(10):993-4.
A case is presented of acute cholecystitis that produced extensive ascending, intrahepatic acute cholangitis (sufficient to produce obstructive jaundice of significant degree) without evidence of choledocholithiasis or ductal dilatation.Questions are raised concerning the present accepted clinical classification of both cholangitis and obstructive jaundice.
本文报告了一例急性胆囊炎病例,该病例引发了广泛的上行性肝内急性胆管炎(严重程度足以导致明显的梗阻性黄疸),但未发现胆总管结石或胆管扩张的证据。文中对目前公认的胆管炎和梗阻性黄疸的临床分类提出了疑问。