直肠癌术后并发胆管癌1例报道

Complicated cholangiocarcinoma after rectal cancer operation: one case report

消化内镜的介入治疗在消化科临床广泛开展,在疑难危重病救治过程中,避免了临床误诊、减轻了患者痛苦。本例患者梗阻性黄疸入院时影像学高密度影易造成对病情误判,经内镜乳头括约肌切开取石术(endoscopic papillary sphincter incision,EST)、内窥镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)后刷片确诊为胆管癌,并行内镜逆行胆管引流术(endoscopic retrograde biliary drainage,ERBD)后消除梗阻,具有学习价值。

With endoscopic interventional treatment widely carried out in the department of gastroenterology,it could avoid misdiagnosis and reduce patient pain during the treatment process. The case of obstructive jaundice was imaging high density condition and easily led to the misjudgment by endoscopic papillary sphincter incision（ EST）,endoscopic retrograde cholangiopancreatography（ ERCP） after brushing diagnosis as bile duct carcinoma. Endoscopic retrograde biliary drainage（ ERBD） was used to deduct the obstruction,which is worthy of learning.