Ortega Deballon P, Fernández Lobato R, García Septiem J, Nieves Vázquez M A, Martínez Santos C, Moreno Azcoita M
Department of Surgery, Hospital Universitario de Getafe (Madrid), Ctra. de Toledo Km. 12,500, 28905 Getafe, Spain.
Surg Endosc. 2000 Aug;14(8):767. doi: 10.1007/s004640040001. Epub 2000 Jul 12.
We report the case of an 81-year-old man who presented with abdominal pain following endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis. A diagnosis of infected hematoma was made. A CT-guided puncture produced bloody matter that grew Citrobacter freundii. A catheter was left in place for 3 weeks before the patient could be discharged from hospital. We hypothesize that the hepatic parenchyma had been torn by the guide used during the ERCP. This case represents the first report of this type of iatrogenic injury.
我们报告了一例81岁男性患者，该患者因胆总管结石接受内镜逆行胰胆管造影（ERCP）后出现腹痛。诊断为感染性血肿。CT引导下穿刺抽出了培养出弗氏柠檬酸杆菌的血性物质。在患者出院前，一根导管留置了3周。我们推测肝实质在ERCP过程中被使用的导丝撕裂。该病例是此类医源性损伤的首例报告。
