摘要患者男,61岁,因巩膜黄染1周入院。肝功能检查:谷丙转氨酶11 IU /L、谷草转氨酶21 IU /L、总胆红素887μmol/L、直接胆红素693μmol/L、碱性磷酸酶376 U /L、谷氨酰转移酶463 U /L。传染病四项指标均阴性。腹部超声检查提示:胆总管扩张(直径10 cm),胆总管末端偏低回声改变。
1Hatzitheoklitos E, Biichler MW, Friess H, et al. Carcinoid of the ampulla of Vater. Clinical characteristics and morphologic fea- tures [ J ]. Cancer, 1994,73 (6) : 1580-1588. 被引量:1
2Bohnacker S, Soehendra N, Maguchi H, et al. Endoscopicresec- tion of benign tumors of the papilla of vater [ J ]. Endoscopy, 2006,38(5) :521-525. 被引量:1
3Odabasi M, Yildiz KM, Cengiz E, et al. Treatment of ampullary- neuroendocrine tumor by endoscopic snare papillectomy [ J ]. Am J Case Rep ,2013,14:439-443. 被引量:1