McCorkell S J
Gastrointest Radiol. 1985;10(4):390-3. doi: 10.1007/BF01893138.
Obstruction of the biliary system due to intraductal echinococcal cysts is a rare but serious presentation of hepatic echinococcal disease. Four cases are described. There was a 50% mortality rate and morbidity was high. The clinical presentation is difficult to differentiate from other disease processes. Careful preoperative sonograms should be taken to detect echogenic cyst material in the biliary system in all patients with hepatic echinococcal cysts. If biliary pigments are seen in the cyst during surgical removal, or if the patient has a recent history of jaundice or cholangitis, intraoperative cholangiography should be done to rule out intraductal cysts, which may cause obstruction.
肝内胆管棘球蚴囊肿导致的胆道系统梗阻是肝棘球蚴病一种罕见但严重的表现形式。本文描述了4例病例。死亡率为50%，发病率很高。其临床表现很难与其他疾病过程相鉴别。对于所有患有肝棘球蚴囊肿的患者，术前应仔细进行超声检查，以检测胆道系统内的回声性囊肿物质。如果在手术切除囊肿时发现囊肿内有胆色素，或者患者近期有黄疸或胆管炎病史，则应进行术中胆管造影，以排除可能导致梗阻的胆管内囊肿。
