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Evaluation of Caroli's Disease with Radionuclide Scintigraphy and Computed Tomography

放射性核種閃爍描繪術暨腹部電腦斷層掃描診斷膽道擴張病的評價

摘要


膽道擴張病Caroli's disease係一種稀有的、先天性,膽道有多發性複合式的異常擴張。病人經常因腹部疼痛、黃疸和發熱而就醫,但該病不易從臨床的症候得到診斷,有賴直接式膽道造影術,或在手術時觀查到膽道的擴張而得到診斷。本文報告一名女性患者有膽道擴張和放射性核種閃爍描繪術暨腹部電腦X光斷層掃描診斷膽道擴張的評價。

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並列摘要


Radionuclide scintigraphy allows the diagnosis of a Caroli's disease in a 22-year-old female patient. The patient belongs to the pure form of Caroli's disease. She presents with recurrent abdominal pain, intermittent jaundice and fever. Surgical treatments alleviate the symptoms temporarily. The scintigraphic findings in evaluating the disease and a correlative study of computed tomography of the abdomen are discussed. Radionuclide scintigraphy would be the preferred study in the initial evaluation of Caroli's disease and computed tomography of the abdomen follows to confirm the disease process.

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