Vasile D, Ilco A, Tenovici G, Popa D, Lutic C, Geogloman I, Popa A
Clinica Chirurgie I, Spitalul Universitar de Urgenţă Bucureşti.
Chirurgia (Bucur). 2011 May-Jun;106(3):405-8.
We present the case of a male patient admitted for high flow biliary fistula (> 2000 ml/24h) as a consequence of a prior right nephrectomy by lumbar approach. The patient was operated after the failure of the medical conservative treatment and continous declining medical status. We noted the complete absence of the gastric antrum, duodenum I and II with the intraperitomeal direct display and opening of the Vater papilla, witch was difficult to identify unless common bile duct (CBD) was catheterized by supraduodenal choledocotomy. We performed emergency pancreatoduodenectomy with a good postoperative outcome , excepting a residual postnephrectomy abscess, witch was consequently evacuated and drained. The patient left the clinic 28 days postoperatively. The two years after follow up notes that the patient is in a good condition
我们报告一例男性患者，因先前经腰部入路行右肾切除术导致高流量胆瘘（>2000 ml/24小时）入院。在保守治疗失败且病情持续恶化后，患者接受了手术。我们发现胃窦、十二指肠第一部和第二部完全缺失，腹膜内直接显露并打开了乳头，除非通过十二指肠上胆总管切开术将胆总管插管，否则很难识别乳头。我们进行了急诊胰十二指肠切除术，术后效果良好，除了肾切除术后残留脓肿，随后对其进行了引流。患者术后28天出院。随访两年发现患者状况良好 。
需注意，原文中“witch”应改为“which”；“continous”应改为“continuous” 。
