ORIENTAL CHOLANGIOHEPATITIS - SONOGRAPHIC FINDINGS IN 48 CASES

被引:41
作者
LIM, JH
KO, YT
LEE, DH
HONG, KS
机构
[1] Dept. Diagnostic Radiology, Kyung Hee University Hospital, Dongdaemun-ku, Seoul 130-702
关键词
D O I
10.2214/ajr.155.3.2117346
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Oriental cholangiohepatitis is characterized by recurrent attacks of abdominal pain, fever, chill, and jaundice and grossly dilated extrahepatic and intrahepatic ducts containing soft, pigmented stone and pus. Sonograms were studied in 48 patients in whom the diagnosis was later proved during surgery (n = 34) or on the basis of clinical and laboratory findings and endoscopic retrograde cholangiography (n = 14). The sonographic findings included intrahepatic and/or extrahepatic bile duct stones (n = 47); moderate to severe dilatation of the extrahepatic ducts with relatively mild or no dilatation of intrahepatic bile ducts (n = 41); localized dilatation of the lobar or segmental bile ducts, especially the left hepatic lobe (n = 16); and gallstones (n = 22). Our experience suggests that the preoperative diagnosis of oriental cholangiohepatitis can be strongly suggested by sonographic findings.
引用
收藏
页码:511 / 514
页数:4
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