肝门部IgG4相关硬化性胆管炎误诊1例
发布时间：2018-12-30 18:26
【摘要】：正患者男,67岁,因"上腹隐痛不适3个月,加重伴巩膜黄染半个月"入院。查体:除巩膜黄染外,无其他阳性体征。实验室检查:ALP 523U/L,γ-GT713U/L,CA19-9 52.61U/ml,CEA5.57ng/nl。CT:肝右叶密度减低,肝内胆管扩张,至肝门部中断,局部见一结节影,平扫CT值约40 HU(图1A),增强扫描肝门区右肝管内见一条
[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, 纬-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
【作者单位】： 大连医科大学附属第一医院放射科;
【分类号】：R575.7
本文编号：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, 纬-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
【作者单位】： 大连医科大学附属第一医院放射科;
【分类号】：R575.7
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