妊娠期自发性胆管破裂
Spontaneous bile duct rupture in pregnancy.
作者信息
Piotrowski J J, Van Stiegmann G, Liechty R D
机构信息
Department of Surgery, University of Colorado Health Sciences Center, Denver.
出版信息
HPB Surg. 1990 Jul;2(3):205-9. doi: 10.1155/1990/32017.
Spontaneous bile duct rupture occurred in a 23-year-old who required emergency Cesarean section for fetal distress. This condition has not been reported in association with pregnancy. Only forty cases of spontaneous bile duct perforation in adults have been previously reported. Seventy percent of these perforations were related to biliary calculi. Sites of perforation were evenly distributed between common hepatic duct and common bile duct. Recommended treatment includes cholecystectomy, common bile duct exploration, T-tube placement, and Roux-En-Y ductal anastomosis if disruption is extensive.
一名23岁女性因胎儿窘迫需要紧急剖宫产，术中发生自发性胆管破裂。这种情况此前未见与妊娠相关的报道。此前仅报道过40例成人自发性胆管穿孔病例。其中70%的穿孔与胆结石有关。穿孔部位在肝总管和胆总管之间分布均匀。推荐的治疗方法包括胆囊切除术、胆总管探查、放置T形管，若破裂范围广泛则行Roux-en-Y胆管吻合术。
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