Varela O W
Acta Gastroenterol Latinoam. 1983;13(1):59-65.
Three patients with jaundice are presented. One was erroneously diagnosed as a biliary tumor because of the image in the percutaneous transhepatic cholangiography. When he was operated upon, it was found a chronic pancreatitis. Two other patients exhibited in the first sequences of the percutaneous transhepatic cholangiography an obstruction of the common hepatic duct; this diagnosis was corrected rotating the patients 360 degrees on the X-ray table. With this procedure the existence of choledocolithiasis was demonstrated. Finally, the author presents the case of a patient in whom some cholangiographic sequences induced a diagnostic error, because of the scant opaque media injected.
本文介绍了三名黄疸患者。其中一名患者因经皮肝穿刺胆管造影的影像被误诊为胆管肿瘤。手术时发现是慢性胰腺炎。另外两名患者在经皮肝穿刺胆管造影的最初影像中显示肝总管梗阻；通过在X线检查台上将患者旋转360度纠正了这一诊断。通过这一操作证实了胆总管结石的存在。最后，作者介绍了一名患者的病例，由于注入的造影剂不足，一些胆管造影影像导致了诊断错误。
