1病例分析患者,女,22岁,体质量42 kg。因反复上腹痛1年,腹痛加重伴身黄1周于2010年4月7日入住普外科。体查:生命体征平稳,全身皮肤及巩膜轻度黄染,上腹部压痛明显,无反跳痛,余正常。肝胆MRI示:胆道低位梗阻,考虑胆总管下段小结石或炎性粘连。入院诊断考虑梗阻性黄疸,胆源性胰 A case analysis of patients, female, 22 years old, body weight 42 kg. Due to repeated upper abdominal pain 1 year, abdominal pain increased with body yellow 1 week in April 7, 2010 admitted to general surgery. Physical examination: stable vital signs, mild yellowish skin and sclera, tenderness on the abdomen, no rebound pain, more than normal. Liver and gallbladder MRI showed: low biliary obstruction, consider the lower part of the common bile duct stones or inflammatory adhesions. Admission diagnosis consider obstructive jaundice, biliary pancreas