髓系肉瘤致阻塞性黄疸1例报道  

Obstructive jaundice caused by myeloid sarcoma:one case report

作　　者：杨琳 胡端敏[1] 吴伟[1] 徐丽明[1] 程桂莲[1] YANG Lin;HU Duanmin;WU Wei;XU Liming;CHENG Guilian(Department of Gastroenterology,the Second Affiliated Hospital of Soochow University,Suzhou 215004,China)

机构地区：[1]苏州大学附属第二医院消化内科,江苏苏州215004

出　　处：《胃肠病学和肝病学杂志》2022年第6期718-720,共3页Chinese Journal of Gastroenterology and Hepatology

基　　金：姑苏卫生人才培养项目(GSWS2019012);苏州市医疗器械与新医药(临床试验)(SLT201927)。

摘　　要：阻塞性黄疸是消化系统的常见症状,当胆管系统阻塞时,胆汁的排泄受到阻碍而使胆红素反流到血液引起黄疸,称为阻塞性黄疸,常见病因有胆管结石、胆管感染、胆管肿瘤性病变、胆囊癌、壶腹部占位性病变、胰头肿物等。由于胆管系统较为隐蔽的解剖关系,其诊断相对困难。随着超声内镜(endoscopic ultrasound,EUS)技术的成熟,对胆道、胃周脏器的诊断价值不断提高,近期我院借助该技术成功确诊1例罕见疾病引起的阻塞性黄疸,现对该患者的临床表现、诊断、治疗及预后进行报道。Obstructive jaundice is a common symptom of the digestive system.When the bile duct system is blocked,the excretion of bile juice is hindered and bilirubin reflows to the blood caused jaundice,which is called obstructive jaundice.The common causes include bile duct stones,bile duct infection,bile duct tumor lesions,gallbladder cancer,peri-ampullary space-occupying lesions and pancreatic neoplasm,etc.Due to the hidden anatomical relationship of the bile duct system,its diagnosis is relatively difficult.With the maturity technology of endoscopic ultrasound(EUS),its diagnostic value to biliary tract and peripheral gastric organs is continuously improved.Recently,our hospital has successfully diagnosed an obstructive jaundice caused by rare etiology with this technology,and here reported the clinical manifestations,diagnosis,treatment and prognosis of this patient.

关 键 词：髓系肉瘤 超声内镜 阻塞性黄疸 胃 急性髓系白血病 

分 类 号：R57[医药卫生—消化系统]