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慢性胰腺炎所致自发性胆总管穿孔,表现为巨大的腹膜后囊性肿块:一例报告

Spontaneous common bile duct perforation due to chronic pancreatitis, presenting as a huge cystic retroperitoneal mass: a case report.

作者信息

Yaşar Necdet Fatih, Yaşar Bekir, Kebapçı Mahmut

机构信息

Department of General Surgery, Eskisehir Osmangazi University Faculty of Medicine, Meselik Campus, 26480 Eskisehir, Turkey.

出版信息

Cases J. 2009 Sep 8;2:6273. doi: 10.4076/1757-1626-2-6273.

Abstract

Spontaneous perforation of the bile duct, is a disease in which spontaneous perforation occurs in the wall of the extrahepatic or intrahepatic duct without any traumatic or iatrogenic injury and more often described in neonates. In this report, we present a 38-year-old female patient who underwent surgery due to an intraabdominal cystic mass. The diagnosis of spontaneous rupture of the common bile duct and huge retroperitoneal biloma was made by intraoperative abdominal exploration. The biloma was drained, ruptured portion of the common bile duct was primarily repaired over a T-tube.

摘要

胆管自发性穿孔是一种在肝外或肝内胆管壁发生自发性穿孔而无任何创伤或医源性损伤的疾病,多见于新生儿。在本报告中,我们介绍了一名38岁的女性患者,她因腹腔内囊性肿块接受了手术。通过术中腹部探查诊断为胆总管自发性破裂和巨大腹膜后胆汁瘤。对胆汁瘤进行了引流,胆总管破裂部分在T形管支撑下进行了一期修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c5/2769279/097f1c39c23d/1757-1626-0002-0000006273-001.jpg

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