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Ann R Coll Surg Engl. 2017 Apr;99(4):e118-e120. doi: 10.1308/rcsann.2017.0047.
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Intrahepatic perforation of the gallbladder causing liver abscesses: case studies and literature review of a rare complication.胆囊肝内穿孔导致肝脓肿：罕见并发症的病例研究及文献综述
Ann R Coll Surg Engl. 2016 Jul;98(6):e88-91. doi: 10.1308/rcsann.2016.0115. Epub 2016 Apr 8.
2
An atypical presentation of intrahepatic perforated cholecystitis: a modern indication to open cholecystectomy. Report of a case.肝内穿孔性胆囊炎的非典型表现：开腹胆囊切除术的现代指征。病例报告。
BMC Surg. 2014 Jan 27;14:6. doi: 10.1186/1471-2482-14-6.
3
Endoscopic gallbladder stenting for acute cholecystitis: a retrospective study of 46 elderly patients aged 65 years or older.内镜下胆囊支架置入术治疗急性胆囊炎：46 例 65 岁及以上老年患者的回顾性研究。
BMC Gastroenterol. 2013 Apr 12;13:65. doi: 10.1186/1471-230X-13-65.
4
Endoscopic transcystic stent placement for an intrahepatic abscess due to gallbladder perforation.内镜经胆囊置入支架治疗胆囊穿孔所致肝内脓肿。
World J Gastroenterol. 2007 Mar 7;13(9):1458-9. doi: 10.3748/wjg.v13.i9.1458.

内镜下胆囊管支架置入术作为肝内胆囊穿孔伴脓肿形成的主要治疗方法。

Endoscopic cystic duct stent as primary treatment for intrahepatic gallbladder perforation with abscess formation.

作者信息

Williams P, Dosani A, Morgan-Jones R

机构信息

Freeman Hospital, Hepatobiliary and Pancreatic Surgery, Newcastle upon Tyne , UK.

出版信息

Ann R Coll Surg Engl. 2017 Apr;99(4):e118-e120. doi: 10.1308/rcsann.2017.0047.

DOI:10.1308/rcsann.2017.0047
PMID:28349752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5449687/
Abstract

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.

摘要

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。