Morris S J, Pereiras R, Chiprut R O, Greenwald R A, Schiff E R
Am J Gastroenterol. 1978 Jun;69(6):669-72.
A case of pancreatic abscess with pancreaticobiliary fistula manifesting as obstructive jaundice of occult etiology is presented. Diagnosis was made preoperatively by skinny needle percutaneous transhepatic cholangiography. In addition, a communication between the biliary tree and the pancreatic abscess cavity was demonstrated in the absence of previous biliary surgery or primary biliary tract disease. We feel this is the procedure of choice for emergency visualization of the biliary tree in a jaundiced patient where a surgically approachable lesion is suspected.
本文报告一例胰腺脓肿合并胰胆管瘘，表现为隐匿病因的梗阻性黄疸。术前通过细针经皮肝穿刺胆管造影术做出诊断。此外，在既往无胆道手术史或原发性胆道疾病的情况下，显示了胆管树与胰腺脓肿腔之间的连通。我们认为，对于怀疑存在可手术处理病变的黄疸患者，这是紧急观察胆管树的首选方法。
