双语病例Choledochalcys

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病例选自《MayoClinicBodyMRICaseReview》

History

19-year-oldpregnantwomanwitha2-weekhistoryofrightupperquadrantpain.

19岁孕妇，右上腹痛2周余。

Fig3.12.1：

Fig3.12.2：

ImagingFindings

CoronalSSFSE(Figure3.12.1)andaxialT2-weightedFSE(Figure3.12.2)imagesdemonstratemassivedilatationoftheCBDatthebifurcation,aswellasthedistalduct.Dilatationofperihilarintrahepaticductscanbeseen.Withintheduct,thereisalargefillingdefectornodule,whichispredominantlyhypointenseontheT2-weightedimagesandcontainsacentralcysticregionwithafluid-fluidlevel.

冠状位SSFSE(Figure3.12.1)、横断位T2WIFSE（Figure3.12.1）示胆总管分叉处及远端明显扩张，肝门部肝内胆管扩张。扩张的胆管内可见巨大充盈缺损，T2WI以较低信号为主，其内部可见囊变及液液平。

Diagnosis

Choledochalcystwithintraductalhematoma

胆总管囊肿伴胆管内血肿

Comment

Choledochalcystsarerareentities,withanestimatedincidenceintheWesternpopulationof1in,to,livebirths.RatesaremuchhigherinAsia,wherethereportedincidenceis1in1,livebirths.Choledochalcystsaremore







































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