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[复杂肝包虫囊肿与急性胰腺炎。内镜逆行胰胆管造影(ERCP)的价值及内镜括约肌切开术治疗]

[Complicated hepatic hydatid cyst and acute pancreatitis. Value of ERCP and treatment with endoscopic sphincterotomy].

作者信息

Medina E, Orti E, Canelles P, Calvo M A, Molina E

机构信息

Sección de Endoscopia Digestiva, Hospital General de Valencia.

出版信息

Rev Esp Enferm Dig. 1990 Nov;78(5):315-8.

PMID:2090177
Abstract

We present the case of a 29 year-old cholecystectomized woman with hepatic hydatid cysts who was admitted for acute pancreatitis. Echography and abdominal CAT revealed three thydatid cysts-the one in the right liver lobe being complicated-as well as pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) confirmed the suspected diagnosis of intrabiliary hydatid cyst rupture. An endoscopic sphincterotomy was performed, posterior evolution being asymptomatic, thus permitting the postponing of surgery.

摘要

我们报告一例29岁的胆囊切除术后女性患者,她因肝包虫囊肿并发急性胰腺炎入院。超声检查和腹部计算机断层扫描(CAT)显示有三个包虫囊肿,其中右肝叶的一个囊肿出现并发症,同时还存在胰腺炎。内镜逆行胰胆管造影(ERCP)证实了胆管内包虫囊肿破裂的疑似诊断。实施了内镜括约肌切开术,术后病情呈无症状进展,因此手术得以推迟。

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