Hamy A, Paineau J, Savigny B, Kahn X, Benamar S, Mirallie E, Visset J
Clinique Chirurgicale 1, CHR Nord, Nantes.
J Chir (Paris). 1997 Aug;134(3):128-32.
We report one case of unrecognized primary liver tumor revealed by intra biliary system migration of free floating debris and hemobilia. A 64-year-old man presented an isolated jaundice. Ultrasound, computed tomography and percutaneous transhepatic cholangiography are suggestive a cholangiocarcinoma. Operative intervention demonstrated hepatocellular emboli to common bile duct causing obstruction.
我们报告一例原发性肝癌,最初未被识别,后因游离漂浮物和胆道出血进入胆道系统而得以发现。一名64岁男性出现单纯性黄疸。超声、计算机断层扫描和经皮经肝胆道造影均提示为胆管癌。手术干预显示肝细胞栓子进入胆总管导致梗阻。