胆管囊腺瘤为胆管良性肿瘤,较少见。本文报道一例,伴顽固性腹水,被误诊误治达5年之久,最终因全身衰竭死亡。病理解剖证实高×,男性,45岁。1983年无何诱因出现腹胀、腹水。曾到多家医院检查治疗,均诊为“肝硬化、腹水”。给予保肝、补充蛋白制剂、利尿等治疗,效果不好。因腹水加重,进行性消瘦于1988年9月2日入院。查体:平温平脉,血压正常。消瘦呈恶液质状态。皮肤无黄染,表浅淋巴结不肿大。心肺无异常。腹部高度膨隆,腹壁无静脉怒张,无压痛,肝脾触诊不清。下肢明显水肿。实 Biliary cystadenoma is a benign biliary duct, less common. This article reports an example, with refractory ascites, misdiagnosed and mistakenly treated for 5 years, eventually died of systemic failure. Pathological anatomy confirmed high ×, male, 45 years old. No inducement in 1983, bloating, ascites. Have to a number of hospital examination and treatment, were diagnosed as “cirrhosis, ascites.” Give liver protection, protein preparation, diuretic and other treatment, the effect is not good. Due to increased ascites, progressive weight loss in September 2, 1988 admission. Physical examination: Ping Ping Ping, normal blood pressure. Thin was evil liquid state. No yellow skin, superficial lymph nodes are not swollen. No abnormal heart and lung. Abdominal height bulging, abdominal wall without venous tension, no tenderness, palpation of liver and spleen unclear. Lower extremity obvious edema. real