Pirovino M, Altorfer J, Maranta E, Hämmerli U P, Schmid M
Z Gastroenterol. 1982 Jun;20(6):321-31.
Two cases of severe intrahepatic cholestasis due to amyloidosis of the liver seen within 9 months are described and compared with the pertinent literature. In both, the diagnosis was established by needle biopsy of the liver, and the amyloidosis associated with a myeloma. The methods available for reaching a definite diagnosis are discussed, and the possible diagnostic importance of percutaneous transhepatic cholangiography, as performed in one of the two patients, is stressed. Amyloidosis of the liver complicated by jaundice is possibly not such a rare disease; it has a very poor prognosis, and the patients do not survive more than a few months.
本文描述了9个月内所见的2例因肝脏淀粉样变性导致的严重肝内胆汁淤积病例,并与相关文献进行了比较。在这两例中,均通过肝脏穿刺活检确诊,且淀粉样变性与骨髓瘤相关。文中讨论了可用于明确诊断的方法,并强调了在其中1例患者中进行的经皮肝穿刺胆管造影术可能具有的诊断重要性。肝脏淀粉样变性并发黄疸可能并非罕见疾病;其预后很差,患者存活时间不超过几个月。