According to the presence or absence of intrahepatic fibrosis and portal hypertension, Carolis disease was divided into type I and type II.
Type I showed simple dilatation of intrahepatic bile duct accompanied by cholecystitis and cholelithiasis. A few patients had choledochal cyst, without cirrhosis and portal hypertension. The pathological changes were mostly limited. The lesions were characterized by intrahepatic bile duct dilatation, fibrohyperplasia and a large number of fibrous tissue cell reactions. Around the bile duct, inflammatory cells infiltrated significantly around the bile duct, and some epithelium grew in papillary shape, Atypical hyperplasia or canceration may occur in the epithelium. Therefore, Carolis disease itself is a precancerous lesion with a canceration rate of about 7%.
The abdominal mass is located in the right upper abdomen. Under the costal margin, the huge mass can occupy the whole right abdomen. The mass is smooth and spherical, and can have obvious cyst elasticity. When the cyst is filled with bile, it can be solid, like a tumor.
2. Small bile duct cyst is difficult to palpate because of its deep position.
Abdominal pain occurs in the middle of the upper abdomen or the right upper abdomen. The nature and degree of pain are different. Sometimes it is persistent distending pain, sometimes colic. The patient often takes the prone position with knees bent and refuses to eat to alleviate the symptoms.
2. Pancreatitis: 10.5% - 56.0% of BD patients complicated with acute pancreatitis.
Therefore, BD should be considered in the differential diagnosis of atypical acute pancreatitis, especially recurrent pancreatitis and biliary tract infection.
3. Bile duct canceration: the characteristics of bile duct canceration in BD patients: (1) the incidence rate increased with the age of patients: the age of & lt; 10-20 years old was 0-0.7%, 10-20 years old was 6.8%, 21-40 years old was 15.0%, 41-70 years old was 26.0%, and & gt; 70 years old was 45.5%.
The treatment of bile duct dilatation 1. External drainage is applied to individual severe cases, such as severe obstructive jaundice with liver cirrhosis, severe biliary tract infection, spontaneous bile duct perforation, and then the secondary treatment is made after the improvement of the condition.
2. Because of many complications, such as recurrent cholangitis, anastomotic stricture and stone formation, cyst jejunum Roux-en-Y anastomosis was used in the treatment of cyst and intestinal internal drainage, such as cyst duodenal anastomosis. Various types of anti reflux operation were designed on the intestinal flap. However, pancreaticobiliary confluence still exists, so the symptoms of cholangitis or pancreatitis still occur, Even need to be operated again, and the occurrence of cystic wall canceration after operation has been reported frequently.
病理学根据有无肝内纤维化和门脉高压将carolis病分为i型、ii型。According to the presence or absence of intrahepatic fibrosis and portal hypertension, Carolis disea
此外还有胆盐血症的临床症状,比如有气无力、头晕头痛、精神萎靡、心跳加快、皮肤会出现大面积瘙痒,更有甚者会出现夜盲症等。In addition, there are clinical symptoms of
所以胆息肉是可以吃牡蛎的。So gall polyps can eat oysters.2、胆息肉的饮食注意宜多食各种新鲜水果、蔬菜,进低脂肪、低胆固醇食品,少吃高脂肪、高胆固醇食物。2. The die
初起尿色淡黄,逐日加深,浓如茶色或豆油状;继而皮肤及巩膜发黄。At first, the urine color is light yellow, deepening day by day, thick like brown or soybean oil; the
尿色较深将尿布染成黄色。The urine color is deep. Dye the diaper yellow.肝脏肿大,质地坚硬脾脏在早期很少扪及,如在最初几周内扪及肿大的脾脏,可能是肝内原因随着疾病的
新生儿黄疸有时候是生理性的,这是很正常的,如果是病理性黄疸,家长就要带新生儿去医院检查,根据病情的轻重来进行专业的治疗。Neonatal jaundice is sometimes physiological
患者可能会出现全身发冷,发热、眼球发黄和乏力表现。The patient may have chills, fever, yellow eyes and fatigue.黄疸通常会持续2-5周的时间,黄疸性肝炎症状消退时,患者