Gulsrud P O, Feinberg M, Koretz R L
Dig Dis Sci. 1979 Feb;24(2):166-9. doi: 10.1007/BF01324747.
A 68-year-old male underwent cholecystectomy with a normal operative wedge liver biopsy. Five months later he presented with secondary biliary cirrhosis and signs of portal hypertension and hepatocellular failure. At autopsy, a squamous cell carcinoma of the bile duct was found. This case represents an unusually rapid development of cirrhosis secondary to extrahepatic biliary obstruction with documentation of normal liver histology five months prior to his last admission.
一名68岁男性接受了胆囊切除术，术中肝脏楔形活检结果正常。五个月后，他出现了继发性胆汁性肝硬化、门静脉高压和肝细胞衰竭的体征。尸检发现胆管鳞状细胞癌。该病例代表了肝外胆管梗阻继发肝硬化的异常快速发展，且在他最后一次入院前五个月肝脏组织学检查正常。
