Zervos Xaralambos, Molina Enrique, Larsen Marcelo Fabián
University of Miami Miller School of Medicine, Division of Gastroenterology, Miami, USA.
Acta Gastroenterol Latinoam. 2013 Jun;43(2):146-8.
Biliary obstructions are infrequently caused by foreign bodies. We present an unusual case of angiographically placed metallic coils into the intrahepatic arteries to provide hemostasis, that subsequently eroded into the common bile duct leading to obstructive jaundice and cholangitis a year later. In patients with history of invasive procedures, the possibility of foreign body migration into the common bile duct should always be considered in the differential diagnosis of obstructive jaundice and cholangitis.
胆道梗阻很少由异物引起。我们报告了一例不寻常的病例，患者在肝内动脉造影时放置金属线圈以止血，一年后这些线圈侵蚀入胆总管，导致梗阻性黄疸和胆管炎。对于有侵入性操作史的患者，在梗阻性黄疸和胆管炎的鉴别诊断中，应始终考虑异物迁移至胆总管的可能性。
