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肝移植术后直肠穿孔一例罕见病例。

An unusual case of rectal perforation after liver transplantation.

作者信息

Depuydt P, Aerts R, Van Steenbergen W, Verslype C, Laleman W, Cassiman D, Nevens F, Pirenne J, Monbaliu D

机构信息

Department of Abdominal Transplantation Surgery University Hospitals Leuven, Belgium.

出版信息

Acta Chir Belg. 2012 May-Jun;112(3):232-3.

PMID:22808766
Abstract

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.

摘要

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。

相似文献

1
An unusual case of rectal perforation after liver transplantation.肝移植术后直肠穿孔一例罕见病例。
Acta Chir Belg. 2012 May-Jun;112(3):232-3.
2
Conservative management of a late rectal perforation following cold biopsy polypectomy.冷活检息肉切除术后迟发性直肠穿孔的保守治疗
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Intestinal perforation in a parastomal hernia by a migrated plastic biliary stent.一枚移位的塑料胆管支架导致造口旁疝并发肠穿孔。
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Elevated stricture rate following the use of fully covered self-expandable metal biliary stents for biliary leaks following liver transplantation.肝移植术后胆道漏使用全覆膜自膨式金属胆道支架后狭窄发生率升高。
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[Spontaneous perforation of the rectum. One case (author's transl)].[直肠自发性穿孔。1例报告(作者译)]
Nouv Presse Med. 1979 Apr 28;8(19):1593-4.
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Solitary rectal ulcer syndrome and stercoral ulcers.孤立性直肠溃疡综合征和粪性溃疡
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Small bowel perforation from a migrated biliary stent.移位的胆管支架导致小肠穿孔。
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ERCP and short-term stent-trial in patients with anastomotic biliary stricture following liver transplantation.肝移植术后吻合口胆管狭窄患者的内镜逆行胰胆管造影术及短期支架置入试验
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Migration of endoscopic biliary stent and small bowel perforation within an incisional hernia.内镜下胆管支架在切口疝内移位及小肠穿孔
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引用本文的文献

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Late small bowel perforation from a migrated double plastic biliary stent: A case report and a review of literature of 85 cases from 2000 to 2022.双塑料胆管支架移位导致的迟发性小肠穿孔:一例报告及对2000年至2022年85例文献的综述
Clin Case Rep. 2023 Nov 19;11(11):e7425. doi: 10.1002/ccr3.7425. eCollection 2023 Nov.
2
The Pierced Colon: When Biliary Stents Go the Wrong Way.穿孔结肠:当胆道支架误入歧途时。
ACG Case Rep J. 2023 Apr 3;10(3):e01019. doi: 10.14309/crj.0000000000001019. eCollection 2023 Mar.
3
Small bowel perforation from a migrated biliary stent: A case report and review of literature.
一例因胆管支架移位导致小肠穿孔的病例报告及文献综述
World J Gastrointest Endosc. 2021 Oct 16;13(10):543-554. doi: 10.4253/wjge.v13.i10.543.