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患者,男,58岁。无痛性黄疸半个月。外院B超诊断:胆总管蛔虫并结石。第二天来我院彩超检查。超声表现:左右肝内胆管重度扩张。胆囊大小为7.0cm×3.0cm,壁光滑,未见结石肿物。胆总管重度扩张为2.5cm,内见多条平行光带,光带似与内壁相粘,光带上端见光团光斑。CDFI:光团内探及少量点状动脉血流,呈高阻型,Vs 21cm/s,RI.75(图1)。胰腺大小正常,质均,胰管无扩张。彩超诊断:胆总管囊腺癌。2天后手术病理诊断为胆总管粘液性囊腺癌。
Patient, male, 58 years old. Painless jaundice half a month. B-ultrasound outside the hospital: common bile duct stones and stones. The next day to our hospital color Doppler ultrasound examination. Ultrasound performance: severe intrahepatic bile duct expansion. Gallbladder size 7.0cm × 3.0cm, wall smooth, no stone tumor. Common dilatation of the common bile duct 2.5cm, see inside a number of parallel light band, light band like sticking with the inner wall, the light band to see the light group light spot. CDFI: Photophore exploration and a small amount of punctate arterial blood flow was high resistance type, Vs 21cm / s, RI.75 (Figure 1). Pancreas size normal, quality average, no expansion of the pancreatic duct. Color Doppler ultrasound diagnosis: choledochal cystadenocarcinoma. Two days later, the pathological diagnosis of common bile duct mucinous cystadenocarcinoma.