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[肠道穿孔——胆总管结石的罕见并发症]

[Perforation of the intestine--rare complication of choledocholithiasis].

作者信息

Nározný V

机构信息

Chirurgické oddelenie NsP Prievidza so sídlom v Bojniciach, Slovenská republika.

出版信息

Rozhl Chir. 2010 Apr;89(4):247-9.

Abstract

Endoscopic biliary stent insertion is a well-established treatment for hepatic, biliary or pancreatic disorders. A routine change of endoprostheses after 3 mo is a common practice but this can be prolonged to 6 mo. An bowell perforation resulting from a migrated biliary stent is a rare complication of endoscopic stent placement for benign or malignant biliary tract disease. We describe the case of a 84-year-old woman with a history of abdominal surgery in which a migrated biliary stent resulted in an ileal perforation. Patients with comorbid abdominal pathologies, including abdominal hernia, parastomal hernia, or colonic diverticuli, may be at increased risk of perforation from migrated stents.

摘要

内镜下胆管支架置入术是治疗肝脏、胆管或胰腺疾病的一种成熟方法。通常在3个月后常规更换内置假体,但这一时间可延长至6个月。胆管支架移位导致的肠穿孔是内镜下支架置入治疗良性或恶性胆道疾病的一种罕见并发症。我们描述了一例84岁有腹部手术史的女性病例,其胆管支架移位导致回肠穿孔。患有腹部合并症的患者,包括腹疝、造口旁疝或结肠憩室,可能因支架移位而发生穿孔的风险增加。

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