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系统性红斑狼疮中的血胆症

Hemobilia in systemic lupus erythematosus.

作者信息

Rhoton A J, Gilliam J H, Geisinger K R

机构信息

Department of Gastroenterology, Bowman Gray School of Medicine, Winston-Salem, NC.

出版信息

South Med J. 1993 Sep;86(9):1049-51. doi: 10.1097/00007611-199309000-00015.

DOI:10.1097/00007611-199309000-00015
PMID:8367752
Abstract

Symptoms of acute cholecystitis developed in a 22-year-old woman with active SLE. Abdominal ultrasonography and biliary patency scan showed evidence of acalculous cholecystitis and common bile duct obstruction, respectively. Operation revealed acalculous cholecystitis and hemobilia; a liver biopsy specimen also showed hemobilia. Surgery relieved the patient's symptoms. This case demonstrates a new complication of SLE.

摘要

一名患有活动性系统性红斑狼疮(SLE)的22岁女性出现了急性胆囊炎的症状。腹部超声检查和胆管通畅扫描分别显示了无结石性胆囊炎和胆总管梗阻的证据。手术发现为无结石性胆囊炎和胆道出血;肝脏活检标本也显示有胆道出血。手术缓解了患者的症状。该病例证明了SLE的一种新并发症。

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引用本文的文献

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Is conservative management a safe approach for patients with acute acalculous cholecystitis presenting with an acute abdomen?对于表现为急性腹痛的急性非结石性胆囊炎患者,采用保守治疗是否安全?
Medicine (Baltimore). 2023 Sep 1;102(35):e34662. doi: 10.1097/MD.0000000000034662.
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Thrombotic microangiopathy involving the gallbladder as an unusual manifestation of systemic lupus erythematosus and antiphospholipid syndrome: Case report and review of the literature.血栓性微血管病累及胆囊作为系统性红斑狼疮和抗磷脂综合征的一种罕见表现:病例报告及文献复习
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