Segarra P, Abril V, Gil M, Ortega E, Ballester J E, Traves V
Servicio de Medicina Interna. Hospital General Universitario de Valencia.
Rev Esp Enferm Dig. 1996 Sep;88(9):637-9.
A 30 year-old man with acquired immunodeficiency syndrome was admitted because of abdominal pain, jaundice and fever. A severe pancreatitis without gallstones was detected. Later, dilation of biliary tract and clinical worsening appeared. Cholangiography revealed sclerosing cholangitis and papillary stenosis. Kaposi's sarcoma of the gallbladder invading the biliary tract was found. Only two reports of Kaposi's sarcoma of the biliary tract without cutaneous lesions have been published in a living patient. Pancreatitis has not been previously described as a clinical presentation of this malignancy.
一名30岁的获得性免疫缺陷综合征患者因腹痛、黄疸和发热入院。检查发现为无胆结石的重症胰腺炎。随后，出现胆道扩张和临床症状恶化。胆管造影显示硬化性胆管炎和乳头狭窄。发现胆囊卡波西肉瘤侵犯胆道。仅有两篇关于无皮肤病变的胆道卡波西肉瘤在在世患者中的报道。胰腺炎此前未被描述为这种恶性肿瘤的临床表现。
