Abstract
患者女性，54岁，遗传性球形红细胞增多症合并恶性梗阻性黄疸致超高胆红素血症。入院时总胆红素高达1 612.8 μmol/L，MRI示肝外胆管及胆总管扩张，经内镜逆行胰胆管造影(ERCP)置入支架解除梗阻。术后半个月因支架脱落，胆红素波动性上升，合并感染后溶血危象。再次经ERCP置入支架，经胆道镜观察狭窄段黏膜大致正常，经综合治疗患者情况稳定后行胆囊及脾切除术。术后病理未见明显异常，好转出院。随后因胆道感染再次入院经ERCP置入支架，于胆囊窝处穿刺病理提示腺癌。
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
