Berger Steffen, Schibli Susanne, Stranzinger Enno, Cholewa Dietmar
Department of Pediatric Surgery, Inselspital University Hospital, University of Berne, Berne, 3010 Switzerland.
Division of Pediatric Gastroenterology, Department of Pediatrics, Inselspital University Hospital, University of Berne, Berne, 3010 Switzerland.
Springerplus. 2013 Dec 4;2:648. doi: 10.1186/2193-1801-2-648. eCollection 2013.
Inspissated bile syndrome in a 6 week old boy was unresponsive to oral ursodesoxycholic acid. Intraoperative cholangiography revealed complete obstruction of the common bile duct. Therefore, the gallbladder fundus was pulled out through a laparoscopy port site and sutured to the fascia. A catheter was positioned into the infundibulum for irrigation with ursodesoxycholic acid. At day 8 complete resolution of the plug and free passage of contrast medium into the duodenum was documented radiologically. The catheter was removed, skin closed spontaneously without a second surgery for closure of the gall bladder.
一名6周大男婴的浓缩胆汁综合征对口服熊去氧胆酸无反应。术中胆管造影显示胆总管完全梗阻。因此，通过腹腔镜端口部位将胆囊底部拉出并缝合至筋膜。将一根导管置入胆囊漏斗部，用于灌注熊去氧胆酸。第8天时，影像学检查记录显示堵塞物完全溶解，造影剂自由进入十二指肠。导管被拔除，皮肤自行闭合，无需再次手术闭合胆囊。
