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[继发于手术夹移位的胆总管结石和狭窄]

[Choledochal lithiasis and stenosis secondary to the migration of a surgical clip].

作者信息

Baldomà España M, Pernas Canadell J C, González Ceballos S

机构信息

Servicio de Radiodiagnóstico, Hospital de la Santa Creu i Sant Pau, Barcelona, España.

Servicio de Radiodiagnóstico, Hospital de la Santa Creu i Sant Pau, Barcelona, España.

出版信息

Radiologia. 2014 Nov-Dec;56(6):e46-9. doi: 10.1016/j.rx.2012.03.006. Epub 2012 Jul 17.

DOI:10.1016/j.rx.2012.03.006
PMID:22809531
Abstract

The migration of a clip to the common bile duct after cholecystectomy is an uncommon, usually late, complication that can lead to diverse complications like stone formation, stenosis, and obstruction in the bile duct. We present the case of a patient who presented with signs and symptoms of cholangitis due to clip migration one year after laparoscopic cholecystectomy; endoscopic retrograde cholangiopancreatography and biliary tract stent placement resolved the problem.

摘要

胆囊切除术后夹子移位至胆总管是一种罕见的、通常发生较晚的并发症，可导致多种并发症，如胆管结石形成、狭窄和梗阻。我们报告一例患者，该患者在腹腔镜胆囊切除术后一年因夹子移位出现胆管炎的症状和体征；经内镜逆行胰胆管造影及胆道支架置入解决了该问题。

相似文献

1
[Choledochal lithiasis and stenosis secondary to the migration of a surgical clip].[继发于手术夹移位的胆总管结石和狭窄]
Radiologia. 2014 Nov-Dec;56(6):e46-9. doi: 10.1016/j.rx.2012.03.006. Epub 2012 Jul 17.
2
[A case of common bile duct stone developed due to a surgical clip as a nidus: an experience of successful management by endoscopy].[一例以手术夹为病灶核心导致胆总管结石的病例：内镜成功治疗经验]
Korean J Gastroenterol. 2003 Oct;42(4):351-3.
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Clip-induced biliary stone.夹子导致的胆石症。
Singapore Med J. 2004 Nov;45(11):533-5.
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Migration of vessel clip into the common bile duct and late formation of choledocholithiasis after laparoscopic cholecystectomy.腹腔镜胆囊切除术后血管夹迁移至胆总管并迟发胆总管结石形成。
Am J Surg. 2011 Oct;202(4):e41-3. doi: 10.1016/j.amjsurg.2010.08.011.
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Obstructive Jaundice Secondary to Clip Migration in the Common Bile Duct 9 Years after Laparoscopic Cholecystectomy.腹腔镜胆囊切除术后9年因胆总管夹移位继发梗阻性黄疸
Chirurgia (Bucur). 2020 Jul-Aug;115(4):526-529. doi: 10.21614/chirurgia.115.4.526.
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Clip migration causes choledocholithiasis after laparoscopic cholecystectomy.夹子移位会导致腹腔镜胆囊切除术后胆总管结石形成。
Surg Endosc. 2000 Dec;14(12):1188. doi: 10.1007/s004640040030. Epub 2000 Oct 5.
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[A case of common bile duct stone formed around a surgical clip after laparoscopic cholecystectomy].[一例腹腔镜胆囊切除术后手术夹周围形成胆总管结石的病例]
Korean J Gastroenterol. 2003 Oct;42(4):347-50.
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Choledocholithiasis caused by migration of a surgical clip into the biliary tract following laparoscopic cholecystectomy.腹腔镜胆囊切除术后手术夹移位至胆道导致胆总管结石。
Surg Endosc. 2003 Dec;17(12):2028-31. doi: 10.1007/s00464-003-4517-1. Epub 2003 Oct 23.
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Bile leakage presenting as acute abdomen due to a stone created around a migrated surgical clip.由于移位的手术夹周围形成结石而导致胆汁漏表现为急腹症。
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Choledocholithiasis caused by migration of a surgical clip after video laparoscopic cholecystectomy.视频腹腔镜胆囊切除术后手术夹移位导致胆总管结石
J Laparoendosc Adv Surg Tech A. 2003 Jun;13(3):203-4. doi: 10.1089/109264203766207753.

引用本文的文献

1
Titanium clip migration after cholecystectomy: original technique for laparoscopic transcystic extraction when endoscopic retrograde cholangiopancreatography fails.胆囊切除术后钛夹移位：内镜逆行胰胆管造影失败时腹腔镜经胆囊管取出的原始技术
J Surg Case Rep. 2020 Sep 10;2020(9):rjaa289. doi: 10.1093/jscr/rjaa289. eCollection 2020 Sep.
2
A case report of choledocholithiasis 33 years after cholecystectomy.胆囊切除术后33年胆总管结石1例报告
Int J Surg Case Rep. 2017;41:80-82. doi: 10.1016/j.ijscr.2017.09.029. Epub 2017 Oct 12.
3
Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature.
聚合手术夹导致的腹腔镜胆囊切除术后Mirizzi综合征：一例报告并文献复习
J Med Case Rep. 2016 May 27;10:135. doi: 10.1186/s13256-016-0932-5.