肝門部IgG4相關(guān)硬化性膽管炎誤診1例
發(fā)布時(shí)間:2018-12-30 18:26
【摘要】:正患者男,67歲,因"上腹隱痛不適3個(gè)月,加重伴鞏膜黃染半個(gè)月"入院。查體:除鞏膜黃染外,無其他陽性體征。實(shí)驗(yàn)室檢查:ALP 523U/L,γ-GT713U/L,CA19-9 52.61U/ml,CEA5.57ng/nl。CT:肝右葉密度減低,肝內(nèi)膽管擴(kuò)張,至肝門部中斷,局部見一結(jié)節(jié)影,平掃CT值約40 HU(圖1A),增強(qiáng)掃描肝門區(qū)右肝管內(nèi)見一條
[Abstract]:The patient, 67 years old, was admitted to hospital because of "upper abdominal pain and discomfort for 3 months, aggravated with scleral yellow staining for half a month". Physical examination: no other positive signs except scleral yellow staining. Laboratory examination: ALP 523U / L, 緯-GT713U/L,CA19-9 52.61U / ml CEA 5.57ng / nl.CT: right lobe density decreased, intrahepatic bile duct dilated, interrupted to hilar, local nodule shadow was seen, CT value was about 40 HU (Fig. 1A). Enhanced scanning of right hepatic duct in portal area
【作者單位】: 大連醫(yī)科大學(xué)附屬第一醫(yī)院放射科;
【分類號(hào)】:R575.7
本文編號(hào):2395963
[Abstract]:The patient, 67 years old, was admitted to hospital because of "upper abdominal pain and discomfort for 3 months, aggravated with scleral yellow staining for half a month". Physical examination: no other positive signs except scleral yellow staining. Laboratory examination: ALP 523U / L, 緯-GT713U/L,CA19-9 52.61U / ml CEA 5.57ng / nl.CT: right lobe density decreased, intrahepatic bile duct dilated, interrupted to hilar, local nodule shadow was seen, CT value was about 40 HU (Fig. 1A). Enhanced scanning of right hepatic duct in portal area
【作者單位】: 大連醫(yī)科大學(xué)附屬第一醫(yī)院放射科;
【分類號(hào)】:R575.7
【相似文獻(xiàn)】
相關(guān)期刊論文 前6條
1 曹會(huì)存;曹廣劭;劉健;李天曉;翟水亭;薛絳宇;史帥濤;王子亮;白衛(wèi)星;;“Y”形支架在治療肝門部膽管梗阻中的應(yīng)用[J];當(dāng)代醫(yī)學(xué);2010年23期
2 魏義;;罕見的肝門部結(jié)核病1例[J];肝膽胰外科雜志;2008年01期
3 李建水,張肇達(dá),唐勇;1例肝門膽管結(jié)核及臨床分析[J];消化外科;2005年04期
4 陳巧梅;潘雪梅;;1例躁狂癥伴肝門部腫瘤及食管靜脈曲張患者的護(hù)理[J];中國醫(yī)藥指南;2012年10期
5 馬勁松,張澤營,趙其軍,李桂蘭;肝臟結(jié)核性肉芽腫超聲表現(xiàn)1例[J];中國超聲醫(yī)學(xué)雜志;1999年04期
6 蔣萬金,岑丹輝;經(jīng)十二指腸行膽道取石引流體會(huì)[J];右江民族醫(yī)學(xué)院學(xué)報(bào);1997年03期
,本文編號(hào):2395963
本文鏈接:http://www.wukwdryxk.cn/yixuelunwen/xiaohjib/2395963.html
最近更新
教材專著