An unusual presentation of primary sclerosing cholangitis  

作　　者：Franklin Whitney Goldwire William E Norris Jonathan M Koff Zachary D Goodman Milton T Smith 

机构地区：[1]Internal Medicine Walter Reed Army Medical Center,Washington DC 20307,United States [2]Gastroenterology Walter Reed Army Medical Center,Washington DC 20307,United States [3]Armed Forces Institute of Pathology,Washington DC 20307,United States

出　　处：《World Journal of Gastroenterology》2008年第43期6748-6749,共2页世界胃肠病学杂志（英文版）

摘　　要：This case report describes the unusual presentation of a patient who had findings which were initially suggestive of a type Ⅳ choledochal cyst. Her liver biopsy demonstrated biliary cirrhosis. She was treated with endoscopic retrograde cholangiopancreatography and biliary stent exchanges over one year. Her cholangiogram one year later demonstrated resolution of the biliary cystic dilation which led to her initial diagnosis, with beading and stricturing of the hepatic ducts consistent with primary sclerosing cholangitis. Liver-associated enzymes and physical findings also improved. A liver biopsy one year later demonstrated a marked improvement in hepatic fibrosis with no evidence of cirrhosis.这份病案报告描述有类型 IV 胆总管的包囊开始暗示的调查结果的一个病人的不平常的演讲。她的肝活体检视表明了胆汁性肝硬变。她被对待与内视镜后退 cholangiopancreatography 和胆汁的斯滕特氏印模膏交换超过一年。她的胆管造影照片一年以后表明了导致了她的起始的诊断的胆汁的膀胱的膨胀的分辨率，与与主要致硬化的胆管炎一致的肝的管的 beading 和 stricturing。联系肝的酶和物理调查结果也改善了。肝活体检视一年以后没有肝硬化的证据在肝的纤维变性表明了显著改进。

关 键 词：Biliary cysts CHOLANGIOGRAM Endoscopic retrograde cholangiopancreatography Liver fibrosis Primary sclerosing cholangitis 

分 类 号：R575.7[医药卫生—消化系统]