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患者 女 ,65岁。右下腹痛伴发热、呕吐 1天。查体 :巩膜无黄染 ,腹肌紧张 ,右下腹可触及一约鹅蛋大小包块 ,质中 ,有压痛及反跳痛。ＣＴ示 :肝内部分胆管轻度扩张 ,以左叶为多。肝门结构不清 ,胆囊颈体部周围有较厚软组织环绕 ,体部见一相对狭小段 ,体底部明显增大 ,约 8.5ｃ?
Female patient, 65 years old. Right lower abdominal pain with fever, vomiting for 1 day. Physical examination: Sclera no yellow dye, abdominal muscle tension, the right lower quadrant can reach about a goose size mass, quality, tenderness and rebound tenderness. CT showed: mild intrahepatic bile duct dilatation to the left lobe. Liver structure is unclear, gallbladder neck around a thick soft tissue around the body see a relatively narrow section, the body significantly increased at the bottom, about 8.5c?