Depuydt P, Aerts R, Van Steenbergen W, Verslype C, Laleman W, Cassiman D, Nevens F, Pirenne J, Monbaliu D
Department of Abdominal Transplantation Surgery University Hospitals Leuven, Belgium.
Acta Chir Belg. 2012 May-Jun;112(3):232-3.
We present the case of a 50-year-old patient in whom an anastomotic biliary stricture after liver transplantation was treated endoscopically by sphincterotomy, dilatation and stenting using a plastic biliary stent. A distal migration of the stent caused a perforation of the rectum which was treated following stent extraction per anum -- conservatively with antibiotics and temporary bowel rest.
我们报告一例50岁患者,其肝移植术后发生吻合口胆管狭窄,通过内镜括约肌切开术、扩张术以及使用塑料胆管支架进行支架置入术进行治疗。支架向远端移位导致直肠穿孔,在经肛门取出支架后,采用抗生素保守治疗并暂时禁食进行处理。