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Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis
並列摘要
We report this case of a 63-year-old woman who presented with progressive illness characterized by abdominal pain, weight loss, anorexia, generalized weakness, and fatigue. The patient was found to have obstructive jaundice with multiple mass lesions in the liver, spleen, and kidney on computed tomography scan of abdomen. She developed cholangitis, necessitating an emergent endoscopic retrograde cholangiopancreatography with biliary stenting and decompression. Later, she was found to have hepatic sarcoidosis on wedge biopsy of the liver. Extrinsic compression of biliary tree from mass effect of sarcoid granulomas with superimposed biliary sepsis is rare.
延伸閱讀
- 王柏川、王鴻源、施壽全、鄭國祥、張國明（1997）。Intrahepatic Biliary Papillomatosis: A Case Report and Review of Literature。中華民國急救加護醫學會雜誌，8(3)，127-132。https://doi.org/10.30018/JECCM.199709.0006
- Lin, K. C., Lee, G., Lai, C. T., & Jao, N. K. (2011). Refractory Hepatic Hydrothorax without Ascites: A Case Report. 重症醫學雜誌, 12(4), 200-204. https://doi.org/10.30035/TCCM.201112.0007
- 何家奭、蔡明宏（2011）。Chronic Pancreatitis with Biliary Obstruction: A Case Report and Literature Review。童綜合醫學雜誌，5(2)，78-83。https://doi.org/10.29838/TMJ.201112.0006
- Rigamonti, C., Bogdanos, D. P., Mytilinaiou, M. G., Smyk, D. S., Rigopoulou, E. I., & Burroughs, A. K. (2011). Primary Biliary Cirrhosis Associated with Systemic Sclerosis: Diagnostic and Clinical Challenges. International Journal of Rheumatology, 2011(), 199-210. https://doi.org/10.1155/2011/976427
- Chen, H. M., Lo, H. C., & Yi, S. C. (2010). Spontaneous Perforation of Intra-Hepatic Bile Duct with Biliary Peritonitis: A Case Report. Journal of Emergency Medicine, Taiwan, 12(1), 24-28. https://www.airitilibrary.com/Article/Detail?DocID=15623386-201003-201005140012-201005140012-24-28