Neumann H, Fry L C, Malfertheiner P, Mönkemüller K
Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University, Magdeburg, Germany.
Z Gastroenterol. 2010 Feb;48(2):256-7. doi: 10.1055/s-0028-1109474.
A 64-year-old diabetic man underwent an open cholecystectomy for acute necrotizing cholecystitis. Post-operatively he developed a biloma which was drained percutaneously. A bile leak was suspected and he underwent an ERCP. Initial cholangiography was normal, but upon continued injection of contrast agent, a bile leak originating from a branch of the right hepatic duct or duct of Luschka became evident. A sphincterotomy was performed and a plastic stent was placed into the common bile duct. The leak resolved and the plastic stent was removed 6 weeks later.
一名64岁的糖尿病男性因急性坏死性胆囊炎接受了开腹胆囊切除术。术后他出现了胆汁瘤，通过经皮引流。怀疑有胆漏，他接受了内镜逆行胰胆管造影（ERCP）。最初的胆管造影正常，但在持续注射造影剂时，发现来自右肝管分支或卢氏管的胆漏变得明显。进行了括约肌切开术，并在胆总管内放置了一个塑料支架。漏液得到解决，6周后取出了塑料支架。
