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十二指肠乳头绒毛管状腺瘤超声造影表现1例

Xiao LU,Shao-shan TANG

Journal of China Clinic Medical Imaging（2019）

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Abstract
病例 男,67岁,以“体检发现胆总管末端占位2月余”为主诉入院.患者近4月间断性反酸烧心,2月前无明显诱因出现高热、寒战,体温最高达39.5℃,无腹痛、腹胀、黄疸等,无恶心、呕吐等不适.超声检查:肝内胆管普遍扩张,较宽处约0.4 cm,胆总管扩张,宽约1.3 cm,末端十二指肠乳头部可见1.5 cm×1.1 cm低回声团(图1),边界模糊,随十二指肠蠕动其形态发生改变,超声造影显示:动脉相23 s病灶整体呈高增强(图2),1 min后病灶内造影剂减退,呈低增强.
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