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<table border="0" cellpadding="3" cellspacing="1" width="100%" class="forumline"> <tr> <th class="thCornerL" width="22%">Autor</th> <th class="thCornerR">Wiadomość</th> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>52sale5126am</b></span></td> <td class="row1" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://picsrv.fora.pl/Elveron/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Wysłany: Wto 1:41, 22 Mar 2011<span class="gen"> </span> Temat postu: jordan shoes Bile duct stones with duodenal papill</span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody">Duodenum, bile duct stones with X-ray diagnosis of papillary carcinoma <br /> <br /> <br />See adenocarcinoma cell science investigation. Biliary-enteric drainage line after line 2 weeks pancreaticoduodenectomy. Uneventful recovery. T pathologic diagnosis of duodenal invasion of ampullary adenocarcinoma and muscle, both the upper and lower cut end and to see cancer involving the pancreas. Example 2, male, 42 years old, recurrent abdominal pain accompanied by chills, fever, anorexia year on April 1, 1988 closing inpatient examination: general adequate, the body stained yellow skin and sclera mild abdominal plain J soft, 'mild right upper quadrant tenderness, can reach a size of 4m × 4cm cystic mass, texture medium, activities can still, is it's sign (a). B-show: common bile duct stones. X-ray examination: PTC showed slight expansion of intrahepatic bile duct, common bile duct see a lem × 1.2cm size of the negative shadows, position variable, common bile duct expansion, the end of the eccentric stenosis incomplete obstruction, contrast within the duodenum agent filling, filling defect can be seen around the nipple part of the leafy 2CmX1.5cm size. Surgery and pathology are: common bile duct stones, duodenal papilla papillary adenocarcinoma, invasion into the superficial muscular layer. 2.1 2 discussions duct stones pass away concurrent clinical diagnosis of duodenal cancer is more complex clinical presentation, easy to misdiagnosis and missed diagnosis. Identification of the clinical pass away stones and malignant obstruction is often based on Egypt library Lazy Law (COU-rvoisierslaw) [. This article has been feeding a cholecystectomy, for example, found library Lazy 2 clinical Egyptian law, coupled with the second B-Tip bile duct stones, preoperative bile duct stones with no thought of the possibility of duodenal papilla cancer,<a href="http://www.radiishoessale.net" target="_blank" class="postlink">radii shoes</a>, diagnosis and digging should be cited that the diagnosis of B-ring 2.2B over the diagnosis of bile duct stones has been the recognition of the Provisional l beam, it has some of duodenal papilla cancer, the diagnosis, showing substantial echo sizes ampulla above duct dilatation. However, some cases of interference with the intestinal gas,<a href="http://www.mbtschuhede.net" target="_blank" class="postlink">mbt schuhe</a>, causing dissatisfaction ampulla observed (. In this paper two cases of B-bile duct stones were found, of which three cases of B-1, two years of examination,<a href="http://www.ralphlaurenoutletonline.net" target="_blank" class="postlink">ralph lauren outlet online</a>, were not prompted any abnormal ampulla. To this end, We think that the B-obstructive jaundice diagnosis, should pay attention to check the obstruction factors, found a cause can not meet the dry. 2.3X-ray diagnosis with the development of medical imaging, obstructive jaundice in the x-ray examination means of gradually increasing improvement of the bile duct, duodenal papilla cancer, x-ray diagnosis of mature experience, but the bile duct stones with duodenal papilla cancer, x-ray diagnosis is still difficult. 铡 PTc this film showed two typical signs of bile duct stones, and the developing duodenum,<a href="http://www.jordanshoess.org/" target="_blank" class="postlink">jordan shoes</a>, the duodenal papilla are found filling defect state is still unclear. in which case a filling defect in the duodenal papilla 3c / / '1 × 3em size, x ray Tip One abdominal tumor, commission two lobulated filling defect. Our experience is: ① cholangiography (PTC) found that bile duct stone at the same time filling a leafy part of the duodenal papilla Yang loss, the Clinical whether Taiwan should be closely Results Lazy character sets Egypt's law library, not just be satisfied that bile duct stones, while ignoring the duodenal papillary carcinoma may coexist. ② PTC chip bile duct stones, while a duodenal part of the leaf-shaped filling defect, which may is the bile duct stones with duodenal cancer is one of reliable x-ray findings. because the general bile duct is often associated with duodenal inflammatory rely on narrow, performance is incomplete biliary obstruction, if the stone impaction in the ampulla, the usually presents with complete biliary obstruction, Shao is no contrast agent filling the duodenum. Therefore, on the basis of bile duct stones found in some leafy duodenal filling defect, likely caused by a small stone impacted , degree in a very prompt duodenal tumor ~ PTC examination revealed incomplete obstruction of bile duct with bile duct stones, there is need to carefully observe the nipple change. If both are-f duodenum papilla filling defect, the need for hypotonic duodenography be identified. calculi: duodenal filling Ru-loss profile is smooth, free local mucosal damage; and duodenal cancer is often lobulated filling stars enzyme loss, intestinal lesions and normal angulation (2o ④ In order to reduce the first patients with duodenal PTC examination revealed abnormal, further hypotonic duodenography time. 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