Liguory C, Bonnel D, Canard J M, Lemaire A, Vergeau B, Molinié G
Presse Med. 1986 Mar 8;15(10):481-3.
A 94-year old woman presented with gallstone formation above a stenotic choledoco-duodenal anastomosis, responsible for episodes of cholangitis. After percutaneous biliary tract drainage, the anastomosis was dilated with an angioplasty catheter. As several stones persisted despite washing out, percutaneous cholangioscopy was performed. To introduce a small fibroscope into the biliary canals, transhepatic dilation up to 28 F was necessary. The last stones were pushed into the duodenum with the endoscope. Freedom of the biliary tract and patency of the anastomosis were ascertained.
一名94岁女性因胆总管十二指肠吻合口狭窄上方形成胆结石，引发胆管炎发作前来就诊。经皮胆道引流术后，使用血管成形术导管扩张吻合口。尽管冲洗后仍有几颗结石残留，遂进行经皮胆管镜检查。为了将小型纤维镜插入胆管，需要进行经肝扩张至28F。最后用内窥镜将结石推入十二指肠。确认胆道通畅且吻合口通畅。
