Williams P, Dosani A, Morgan-Jones R
Freeman Hospital, Hepatobiliary and Pancreatic Surgery, Newcastle upon Tyne , UK.
Ann R Coll Surg Engl. 2017 Apr;99(4):e118-e120. doi: 10.1308/rcsann.2017.0047.
Intrahepatic gallbladder perforation with abscess formation is an uncommon presentation of biliary disease. There is no consensus on how to treat this condition, with strategies varying from percutaneous drainage to open cholecystectomy and washout. We present a case of a novel, minimally invasive treatment, using endoscopic retrograde cholangiopancreatography to place a transcystic drain as a bridge to laparoscopic cholecystectomy.
肝内胆囊穿孔伴脓肿形成是一种罕见的胆道疾病表现。对于如何治疗这种疾病尚无共识,治疗策略从经皮引流到开腹胆囊切除术及冲洗不等。我们报告一例采用新型微创治疗的病例,即通过内镜逆行胰胆管造影术放置经胆囊引流管作为腹腔镜胆囊切除术的桥梁。