OBSTRUCTIVE-JAUNDICE CAUSED BY HEPATOMA FRAGMENTS IN THE COMMON HEPATIC DUCT

被引:25
作者
KIEV, J
DYSLIN, DC
VITENAS, P
KERSTEIN, MD
机构
[1] TULANE UNIV,SCH MED,DEPT SURG,1430 TULANE AVE,NEW ORLEANS,LA 70112
[2] ST BARNABAS HOSP,LIVINGSTON,NJ
关键词
Cholangiography; Hepatic duct obstruction; Hepatoma; Obstructive jaundice;
D O I
10.1097/00004836-199004000-00022
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A 67-year-old black male diabetic who had never consumed alcohol presented with anorexia, weakness, weight loss, and jaundice. Ultrasound demonstrated common bile duct obstruction; computed tomography scanning revealed multiple liver masses; endoscopic retrograde cholangiopancreatography showed a filling defect; aortogram confirmed the neovascularity of tumor proliferation; and percutaneous transhepatic cholangiography confirmed high-grade common duct obstruction. Operative intervention demonstrated hepatocellular emboli to the common bile duct causing obstruction. We review the literature on this problem. © 1990 Raven Press, Ltd., New York.
引用
收藏
页码:207 / 213
页数:7
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