左肝切除术治疗复发性化脓性胆管炎
Recurrent pyogenic cholangitis treated by left hepatectomy.
作者信息
Ray Sukanta
机构信息
Department of Surgical Gastroenterology, School of Digestive and Liver Diseases, I.P.G.M.E.R., Kolkata, 20 India.
出版信息
Indian J Surg. 2011 Aug;73(4):309-11. doi: 10.1007/s12262-011-0267-9. Epub 2011 Apr 15.
Abstract
Recurrent pyogenic cholangitis is managed mostly by conservative treatment or by clearance of stones and biliary enteric by-pass procedure. Hepatectomy is rarely needed. We report a case of recurrent pyogenic cholangitis in a 34-year old man, who presented with recurrent upper abdominal pain, mild jaundice, and fever since childhood. Contrast enhanced computed tomography of abdomen and magnetic resonance cholangiopancreatography confirmed the diagnosis and showed significant atrophy of the left lobe of the liver. Patient was treated successfully with left hepatectomy and was well at 9 month follow-up.
摘要
复发性化脓性胆管炎大多通过保守治疗或清除结石及胆肠旁路手术来处理。很少需要进行肝切除术。我们报告一例34岁男性复发性化脓性胆管炎病例，该患者自童年起就出现反复上腹部疼痛、轻度黄疸和发热。腹部增强计算机断层扫描和磁共振胆胰管造影确诊了该疾病，并显示肝脏左叶明显萎缩。患者接受左肝切除术后成功治愈，随访9个月时情况良好。
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