SpyGlass in Diagnosis of Hepatocellular Carcinoma with Right Hepatic Duct Tumor Thrombus Hemorrhage: A Case Report / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal
; (4): 309-314, 2023.
Article
em En
| WPRIM
| ID: wpr-1008999
Biblioteca responsável:
WPRO
ABSTRACT
Hepatocelluar carcinoma presenting as a biliary duct tumor thrombus is a relatively rare entity, with poor prognosis. The primary clinical manifestation of this disease is obstructive jaundice, which can often be misdiagnosed. A 59-year-old female patient was admitted with sudden onset of abdominal pain. Laboratory tests suggested obstructive jaundice, and enhanced magnetic resonance imaging of the upper abdomen did not show obvious biliary dilatation. Endoscopic ultrasound and endoscopic retrograde cholangiopancreatography suggested an occupying lesion in the upper bile duct. SpyGlass and biopsy finally confirmed hepatocellular carcinoma with right hepatic duct tumor thrombus hemorrhage. The SpyGlass Direct Visualization System, as an advanced biliary cholangioscopy device, showed the advantages of single-person operation as well as easy access to and visualization of the lesion.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Trombose
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Carcinoma Hepatocelular
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Icterícia Obstrutiva
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Hemorragia
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Ducto Hepático Comum
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Neoplasias Hepáticas
Limite:
Female
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Humans
Idioma:
En
Revista:
Chinese Medical Sciences Journal
Ano de publicação:
2023
Tipo de documento:
Article