The extrahepatic bile duct stricture mimicking a hilar cholangiocarcinoma: Case report and review of the literature

Jie Mao, Mei Li , Ai Lin Song , Xiao Chen , You Cheng Zhang
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Abstract

We report a case of a 68-year-old Chinese man who presented with Fatigue, anorexia more than half month, the body clear yellow dye for a week, liver function tests with alkaline phosphatase, alanine transferase increased, etc. Abdominal ultrasound showed extrahepatic duct dilatation. Enhanced computed tomography revealed signs of hepatic duct obstruction. Magnetic resonance imaging showed about the confluence of hepatic duct and upper common bile duct wall thickening; cholestasis common bile duct, multiple small stones in the lower; cholecystitis, elevation of the tumor markers CA19-9. At laparotomy, gallbladder, common bile duct, extrahepatic bile duct is clearly dissected out, no tumor, tumor eliminated by histologic examination.

模拟肝门胆管癌的肝外胆管狭窄:1例报告及文献复习
我们报告一例68岁的中国男性患者,其表现为疲劳、厌食半个多月,身体清黄染一周,肝功能检查伴有碱性磷酸酶、丙氨酸转移酶增高等。腹部超声显示肝外管扩张。增强计算机断层扫描显示肝管阻塞征象。磁共振显示肝管汇合处及上总胆管壁增厚;胆总管淤积,下部多发小结石;胆囊炎,肿瘤标志物CA19-9升高。开腹时,胆囊、胆总管、肝外胆管均清晰解剖出来,未见肿瘤,经组织学检查肿瘤消除。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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