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題名 | Endoscopic Ultrasonography Detects Microlithiasis not Demonstrated by Endoscopic Retrograde Cholangiopancreatography: Report of a Case=內視鏡超音波診斷逆行性膽胰管攝影術無法偵測的細小總膽管結石:一病例報告 |
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作者 | 張盈森; 王秀伯; 章明珠; 楊昌學; 吳明賢; 林肇堂; | 書刊名 | 中華民國消化系醫學雜誌 |
卷期 | 15:4 1998.12[民87.12] |
頁次 | 頁24-28 |
分類號 | 415.5392 |
關鍵詞 | 急性胰臟炎; 總膽管結石; 內視鏡超音波; 逆行性膽胰管攝影術; Acute pancreatitis; Common bile duct stones; Endoscopic ultrasonography; Endoscopic retrograde cholangiopancreatography; |
語文 | 英文(English) |
中文摘要 | 我們報告一位五十六歲女性因急性胰臟炎住院,其在二十年前曾因膽囊結石接受 膽囊切除手術。腹部超音波及電腦斷層掃瞄發現總膽管擴大,並未顯示有膽管結石;內視鏡 超音波在總膽管內發現一 0.3 公分大小的結石, 接著作逆行性膽胰管攝影卻未能找到結石 ,作華特氏乳頭切開術後取出一棕色小結石,之後病人症狀迅速改善並順利出院。內視鏡超 音波是一侵襲性極小的診斷工具,最近有報告指出內視鏡超音波比逆行性膽胰管攝影術更能 偵測總膽管結石,且不受總膽管及結石大小所影響。我們認為內視鏡超音波不僅能增加總膽 管結石診斷率,更可作為逆行性膽胰管攝影術的良好輔助工具。 |
英文摘要 | Endoscopic ultrasonography (EUS), a less invasive modality than endoscopic retrograde cholangiopancreatography (ERCP), had been recently reported better in detecting choledocholithiasis irrespective of size of common bile duct (CBD) and stones. We reported a 56-year -old -woman having undergone cholecystectomy for gallbladder stones two decades ago was admitted due to acute pancreatitis. Abdominal ultrasonography and computed tomography only revealed dilated biliary tree without cholelithiasis. EUS instead of ERCP detected a tiny CBD stone (3 mm in diameter). The clinical symptom subsided after extracting out a small brownish stone following papillary sphincterotomy. We recommend EUS be a good adjunct to ERCP in patients with a risk of bile duct stones. |
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