Fairhurst Katherine, Strickland Andrew, Bridgewater Franklin H G, Maddern Guy J
The Queen Elizabeth Hospital, University of Adelaide Discipline of Surgery, Woodville, South Australia, SA 5011, Australia.
HPB Surg. 2009;2009:628197. doi: 10.1155/2009/628197. Epub 2009 Dec 21.
Complications related to cholecystectomy are well described. Most occur in the early postoperative period and are recognised either at the time of, or shortly after surgery. Clinical sequelae occurring years following cholecystectomy are rare and infrequently reported. In addition, most delayed complications are related to the continuing presence or new formation of gallstones. In this paper we present a unique case of an abscess of the common bile duct wall, presenting with painless obstructive jaundice more than 30 years following an open cholecystectomy, without the presence of gallstones. The clinical presentation, investigations, and treatment are discussed with a review of other relevant reported cases in the literature.
与胆囊切除术相关的并发症已有详尽描述。大多数并发症发生在术后早期，在手术时或手术后不久即可识别。胆囊切除术后数年出现的临床后遗症很少见，报道也不多。此外，大多数延迟性并发症与胆结石的持续存在或新形成有关。在本文中，我们报告了一例独特的病例，即胆总管壁脓肿，在开腹胆囊切除术后30多年出现无痛性梗阻性黄疸，且不存在胆结石。本文讨论了该病例的临床表现、检查及治疗，并回顾了文献中其他相关报道的病例。
