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1病历简介王思珍医师(南京军区南京总医院普通外科)病人女性,44岁。因“上腹部隐痛不适18个月,皮肤黄染5 d”于2014-08-21入院。病人于2013-03-07饮酒后出现上腹部隐痛不适,症状轻度,可忍受,持续不能缓解,伴后背部胀痛不适,无寒战、高热,无恶心、呕吐,无皮肤巩膜黄染。入外院治疗。CT检查示:肝右叶血管瘤,胰头饱满,胰管近端扩张。磁共振胰胆管造影(MRCP)检查示:胰管近段囊性
1 medical history Dr. Wang Sizhen (General Surgery, Nanjing General Hospital of the Nanjing Military Region) female patient, 44 years old. Due to “abdominal pain, discomfort for 18 months, skin yellowing for 5 days,” was admitted on 2014-08-21. The patient developed discomfort in the upper abdomen after drinking alcohol on 2013-03-07. The symptoms were mild and can be tolerated, continued to be relieved, with discomfort and discomfort on the back, no chills, high fever, no nausea, vomiting, and no yellow skin and sclera. Into the hospital for treatment. CT examination showed hemangiomas of the right hepatic lobe, full pancreatic head, and proximal pancreatic duct expansion. Magnetic resonance cholangiopancreatography (MRCP) examination showed that the proximal pancreatic duct cystic