A 67-year-old woman presented with paroxysmal epigastric pain for 3 months, without jaundice. She gave a history of cholecystectomy. Physical examination and blood tests were unremarkable. Magnetic resonance cholangiopancreatography showed cystic dilatation of the common bile duct (CBD), intrahepatic and extrahepatic bile duct dilatation and suspicious intrahepatic bile duct stones (figure 1). CT scan showed intrahepatic and extrahepatic bile duct dilatation and multiple intrahepatic bile duct stones (figure 2). Figure 1 Magnetic resonance cholangiopancreatography showed cystic dilatation of the common bile duct, intrahepatic …

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67 岁女性胆管扩张：眼见为实

一名 67 岁女性因阵发性上腹痛就诊 3 个月，无黄疸。她提供了胆囊切除术的病史。体格检查和血液检查无异常。磁共振胰胆管造影显示胆总管 (CBD) 囊性扩张、肝内和肝外胆管扩张以及可疑的肝内胆管结石（图 1）。CT扫描显示肝内外胆管扩张，肝内胆管多发结石（图2）。图 1 磁共振胰胆管造影显示胆总管囊性扩张、肝内...