Ito Y, Blackstone M O, Frank P H, Skinner D B
Gastroenterology. 1977 Dec;73(6):1410-2.
Obstruction of the biliary tree by large amounts of mucinous material is reported in a patient with a mucin-producing cystic adenocarcinoma of the pancreas invading the common bile duct. Although preoperative endoscopic retrograde cholangiography suggested bile duct invasion, mucinous obstruction, as in the previous cases in which it has been reported, was not suspected. Mucinous obstruction, although unusual, should be considered in patients with cystic carcinomas of the pancreas in the presence of jaundice or episodes of cholangitis.
据报道，一名患有产生黏液的胰腺囊性腺癌并侵犯胆总管的患者，其胆道被大量黏液性物质阻塞。尽管术前内镜逆行胆管造影提示胆管受侵，但与既往报道的病例一样，并未怀疑存在黏液性梗阻。黏液性梗阻虽不常见，但在患有胰腺囊性癌且伴有黄疸或胆管炎发作的患者中应予以考虑。
