因芹菜茎滞留于肝内胆管而导致肝内胆管结石形成。
Development of hepatolithiasis due to a celery stalk retained within the bile ducts of the liver.
作者信息
Lv G Y, Qiu W, Yu Y, Li T
机构信息
First Hospital of Jilin University , Changchun City , China.
出版信息
Ann R Coll Surg Engl. 2016 May;98(5):e77-8. doi: 10.1308/rcsann.2016.0129.
INTRODUCTION
Commonly encountered foreign bodies are remnants from surgical procedures and ingested materials. Rarely, the latter cause stone formation in the biliary tract.
CASE HISTORY
We describe a 51-year-old female who underwent choledoduodenostomy and who presented with abdominal distension caused by multiple stones in the bile ducts within the liver (hepatolithiasis) and an intact celery stalk. Hepatolithiasis was demonstrated by ultrasonography and computed tomography of the abdomen. The celery stalk was not confirmed until exploration of the biliary duct.
CONCLUSIONS
Here, we describe, for the first time, an intact, undigested celery stalk in the biliary tract which induced hepatolithiasis. We believe that choledochojejunostomy favoured reflux of the celery stalk from the duodenum into the biliary tract.
引言
常见的异物是手术过程中的残留物和摄入的物质。后者很少会导致胆道结石形成。
病例史
我们描述了一名51岁女性，她接受了胆总管十二指肠吻合术，因肝内胆管多发结石（肝内胆管结石）和一根完整的芹菜茎导致腹胀。腹部超声和计算机断层扫描证实了肝内胆管结石。直到探查胆管时才发现这根芹菜茎。
结论
在此，我们首次描述了一根完整、未消化的芹菜茎在胆道中引发肝内胆管结石。我们认为胆总管空肠吻合术有利于芹菜茎从十二指肠反流至胆道。
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