Smart Peter, Keenan Declan, Campbell William, Morris-Stiff Gareth
Department of Surgery, Mater Hospital, Belfast, Antrim, UK.
BMJ Case Rep. 2012 Sep 24;2012:bcr2012006711. doi: 10.1136/bcr-2012-006711.
A 27-year-old woman presented to the emergency department with abdominal pain, four days post endoscopic retrograde cholangiopancreatography (ERCP) and insertion of an endobiliary stent. A plain abdominal film highlighted the stent in an atypical position within the abdomen. As such, the patient progressed to a CT scan, confirming a retroperitoneal perforation of the duodenum by the stent. Laparotomy returned the stent to the duodenum with a primary duodenal repair. This case highlights the high index of suspicion required in patients who present with acute abdominal pain post-ERCP.
一名27岁女性在接受内镜逆行胰胆管造影术（ERCP）并插入胆管内支架四天后，因腹痛前往急诊科就诊。腹部平片显示支架在腹部处于非典型位置。因此，患者接受了CT扫描，证实十二指肠因支架导致腹膜后穿孔。剖腹手术将支架放回十二指肠并对十二指肠进行了一期修复。该病例强调了对ERCP术后出现急性腹痛的患者需要高度怀疑。
