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患者女性,66岁。低热伴皮肤黄染2周,左肋下饱胀不适伴右上腹痛向肩背部放射。B超:总胆管扩张结石可能,胰头实质占位不能除外。巨检:部分胃、胰及十二脂肠切除标本,十二脂肠腔近乳头部有一突出于肠粘膜面的肿块为3.1×2×1.5cm大小,表面有溃疡,切面灰白色。胆总管明显扩张直径1.7cm。总胆囊腔内充满粘液,距胆囊底2.5cm
Female patient, 66 years old. Low fever associated with yellowing of the skin for 2 weeks. The left lower ribs are full of discomfort and radiate to the shoulder and back with right upper abdominal pain. B-ultrasound: The common bile ducts may be dilated with stones, and the pancreatic head may occupy no position. Giant examination: part of the gastric, pancreatic and dodecorectal resection specimens, twelve fat intestine lumen near the nipple in a prominent out of the intestinal mucosal surface of the tumor size of 3.1 × 2 × 1.5cm, surface ulcers, gray cut surface. The common bile duct dilates 1.7cm in diameter. Total gall bladder filled with mucus, 2.5cm from the gallbladder