Mateş I N, Dinu D, Constantinescu G, Mocanu A R, Constantinoiu S
Clinica de Chirurgie, Spitalul Clinic Sfânta Maria, Bucureşti.
Chirurgia (Bucur). 2000 Nov-Dec;95(6):535-42.
We present the case of an elderly and frail woman, admitted for obstructive jaundice 9 years after cholecystectomy, lithotomy and T-tube drainage. The presence of a T-tube remnant in the common bile duct was suggested by imaging techniques, along with a megacholedocus. Because of the risks associated with advanced biliary cirrhosis, the endoscopic retrieval and lithotripsy was the first therapeutical attempt but failed. Lithotomy and cholangio-jejunostomy by open surgery were followed by a surprising favourable course.
我们报告了一例老年体弱女性的病例，她在胆囊切除术、取石术和T管引流术后9年因梗阻性黄疸入院。影像学检查提示胆总管内存在T管残余物，同时伴有胆总管扩张。由于存在晚期胆汁性肝硬化相关风险，内镜下取出和碎石术是首次治疗尝试，但失败了。随后进行了开放手术取石和胆管空肠吻合术，术后病情出现了令人惊讶的良好转归。
