临床误诊误治Issue(7)：42-44,3.DOI:10.3969/j.issn.1002-3429.2014.07.016
胆管结核误诊为壶腹周围癌一例并文献复习
Biliary Tuberculosis Misdiagnosed as Periampullary Carcinoma：a Case Report and Literature Review
何彦安 1丁辉 1蔡岷 1曾勇 1蔡宇 1何永红1
作者信息
- 1. 621700 四川 江油，江油市人民医院肝胆外科
- 折叠
摘要
Abstract
Objective To explore clinical characteristics and experience in diagnosis and treatment of biliary tubercu-losis (BTB) in order to avoid misdiagnosis and mistreatment. Methods Clinical data of a patient with BTB misdiagnosed as having periampullary carcinoma was retrospectively analyzed, and related literature was reviewed. Results The patient was admitted for abdominal gas pain for one month and aggravated abdominal pain combined with jaundice for 6 days. Irregularity occupying lesions in pancreatic head, enlargement gallbladder and choledochectasia were found by color Doppler ultrasonogra-phy examination, and enlarged duodenohepatic ligament of lymph node was found by CT scan. Periampullary carcinoma was diagnosed, and pancreatoduodenectomy was performed, and then choledochus segment inferior tuberculosis was confirmed by postoperative pathological result. The patient received postoperative anti-tubercular therapy (ATT), and did not have recur-rence with follow-up for 2 year. Conclusion BTB is rare and may be easily misdiagnosed, and examinations of pathology and microbiology are the preferred diagnostic methods.关键词
结核,胆/黄疸/误诊/恶性肿瘤Key words
Tuberculosis, biliary/Jaundice/Misdiagnosis/Malignant tumor分类
医药卫生引用本文复制引用
何彦安,丁辉,蔡岷,曾勇,蔡宇,何永红..胆管结核误诊为壶腹周围癌一例并文献复习[J].临床误诊误治,2014,(7):42-44,3.
