Rezeig M A, Fashir B M
King Faisal Specialist Hospital and Research Centre, Department of Medicine, Riyadh, Kingdom of Saudi Arabia.
Am J Gastroenterol. 1997 Mar;92(3):527-8.
A 43-year old man presented with a clinical picture compatible with cholestatic jaundice. ERCP was suggestive of cholangiocarcinoma. Liver biopsy showed non-caseating granuloma. The diagnosis was a rare presentation of hepatic sarcoidosis causing obstruction to the biliary tract. Obstruction was alleviated with corticosteroids.
一名43岁男性患者表现出与胆汁淤积性黄疸相符的临床症状。内镜逆行胰胆管造影(ERCP)提示胆管癌。肝脏活检显示非干酪样肉芽肿。诊断为肝结节病导致胆道梗阻的罕见表现。使用皮质类固醇后梗阻得以缓解。