胆绞痛伴总胆管扩张:单纯的“羊样”问题?

Q4 Medicine Journal of the Indian Medical Association Pub Date : 2014-02-01
Prachis Ashdhir, Shyam Sunder Sharma, Garima Sharma
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引用次数: 0

摘要

印度拉贾斯坦邦农村地区的一名40岁男子自过去2年以来出现复发性胆绞痛和发烧。检查正常,调查显示胆总管扩张,碱性磷酸酶升高。磁共振胆管造影显示胆道系统扩张无明显原因。患者行内窥镜逆行胆管造影,发现胆道扩张,胆总管下段出现线状充盈缺损,进一步行括约肌切开术,并用胆道篮取出活肝片形吸虫。
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Biliary colic with dilated common bile duct: simple "sheepish" problem?

A 40-year-old man, resident of a rural area of Rajasthan state of India presented with recurrent biliary colic and fever since last 2 years. Examination was normal and investigations revealed a dilated common bile duct with elevated alkaline phosphatase. Magnetic resonance cholangiopancreatography revealed a dilated biliary system without any evident cause. Patient was subjected to endoscopic retrograde cholangioancreatography and it demonstrated biliary dilatation with a linear filling defect in lower common bile duct, further sphinicterotomy was done and a live Fasciola hepatica was extracted using a biliary basket.

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期刊介绍: The Journal of the Indian Medical association, popularly known as JIMA, an indexed (in index medicus) monthly journal, has the largest circulation (over 1.75 lakh Copies per month) of all the indexed and other medical journals of India and abroad. This journal is also available in microfilm through Bell & Howels, USA. The founder leaders of this prestigious journal include Late Sir Nilratan Sircar, Dr Bidhan Chandra Roy, Dr Kumud Sankar Ray and other scholars and doyens of the medical profession. It started in the pre-independence era (1930) with only 122 doctors.
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