A 86 year old man was investigated for haematuria 18 months ago. An abdominal CT scan did not show any renal abnormalities but there was “incidental” massive dilatation of the entire pancreatic duct. He was thought to have main duct Intraductal Papillary Mucinous Neoplasia (MD-IPMN) and, after MDT discussion, was managed conservatively. He now presents with jaundice, 2 stone weight loss and probable cholangitis. Bilirubin 110 umol/L, Alk phosp 990, ALT 85, WBC 10. An MRCP shows widespread dilatation of both the pancreatic duct and the biliary tree. See video for subsequent ERCP. |
[斯坦福大学课程：临床解剖学].1
内镜检查发现鼻息肉
经阴道阑尾切除术（NOTES）
开放性修补膀胱阴道瘘（经阴式入路）
发表于 2017-4-27 18:00:07
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