临床误诊误治2016，Vol.29Issue(9)：19-21,3.DOI:10.3969/j.issn.1002-3429.2016.09.008
肝胆结核误诊为肝门部胆管癌
A Case Report of Hepatobiliary Tuberculos Misdiagnosed as Hilar Cholangiocarcinoma
胡斌 1高俊 2吕进 2杜俊东 1景圆圆 1焦华波1
作者信息
- 1. 100048 北京，解放军总医院第一附属医院肝胆胰脾外科
- 2. 100088 北京，火箭军总医院核与辐射损伤实验室
- 折叠
摘要
Abstract
Objective To summarize clinical characteristics and diagnosis of hepatobiliary tuberculosis in order to a-void misdiagnosis and mistreatment. Methods Clinical data of a patient with hepatobiliary tuberculosis misdiagnosed as hilar cholangiocarcinoma was retrospectively analyzed. Results The patient was admitted for 15 d complicated with jaundice for 4 d. The patient visited a local hospital, and was diagnosed as having hepatic bile duct carcinoma of the portal vein. Then the patient was admitted to our hospital to check liver function, tumor markers and abdominal enhanced CT, and hilar cholangio-carcinoma was diagnosed, and the radical surgery of hilar cholangiocarcinoma was performed, and then hepatic and billiard tu-berculosis was confirmed by postoperative pathological result. The patient received postoperative anti-tubercular therapy and discharged from hospital after condition was improved. The patient was followed up for 3 years, and enhanced CT and liver function showed no abnormal. Conclusion Hepatobiliary tuberculosis is rare. Relevant preoperative examination, compre-hensive analysis before operation and timely intraoperative frozen section diagnosis are important in terms of preventing misdi-agnosis and mistreatment.关键词
结核/肝/胆囊/误诊/胆管肿瘤Key words
Tuberculosis/Hepatic/Gallbladder/Misdiagnosis/Bile duct neoplasms分类
医药卫生引用本文复制引用
胡斌,高俊,吕进,杜俊东,景圆圆,焦华波..肝胆结核误诊为肝门部胆管癌[J].临床误诊误治,2016,29(9):19-21,3.
