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骶骨内胆管支架移位的罕见病例

An Unusual Case of Biliary Stent Migration in Sacrum.

作者信息

Ramani Anant Sadanand, Mandrekar Sudip, Samant Dattaprasad, Noronha Francisco

机构信息

Depatment of Surgery, Goa Medical College, Bambolim, Goa, India.

出版信息

Niger J Surg. 2019 Jan-Jun;25(1):104-106. doi: 10.4103/njs.NJS_28_18.

DOI:10.4103/njs.NJS_28_18
PMID:31007523
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6452759/
Abstract

The common bile duct stenting has been a common endoscopic procedure practiced worldwide for the treatment of benign or malignant bile duct obstruction. Although the procedure has shown a very low morbidity, it is not free from complications. Stent migration has been a common late complication seen in 10% of cases presenting with various manifestations depending on the site of impaction. Here, we present a rare case of distal stent migration with impaction in the sacral foramina due to perforation through sigmoid diverticula with review of literature.

摘要

胆总管支架置入术是一种在全球范围内广泛应用于治疗良性或恶性胆管梗阻的常见内镜手术。尽管该手术的发病率很低,但并非没有并发症。支架移位是一种常见的晚期并发症,在10%的病例中可见,其表现因嵌顿部位而异。在此,我们报告一例罕见的远端支架移位并因乙状结肠憩室穿孔而嵌顿于骶孔的病例,并对相关文献进行综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ba/6452759/c0e6f9c9b9f9/NJS-25-104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ba/6452759/7c913f655f66/NJS-25-104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ba/6452759/fa712b0b75b4/NJS-25-104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ba/6452759/c0e6f9c9b9f9/NJS-25-104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ba/6452759/7c913f655f66/NJS-25-104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ba/6452759/fa712b0b75b4/NJS-25-104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ba/6452759/c0e6f9c9b9f9/NJS-25-104-g003.jpg

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An Unusual Case of Biliary Stent Migration in Sacrum.骶骨内胆管支架移位的罕见病例
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引用本文的文献

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ACG Case Rep J. 2023 Apr 3;10(3):e01019. doi: 10.14309/crj.0000000000001019. eCollection 2023 Mar.

本文引用的文献

1
Biliary stent migration causing perforation of the caecum and chronic abdominal pain.胆管支架移位导致盲肠穿孔和慢性腹痛。
BMJ Case Rep. 2013 Sep 10;2013:bcr2013009124. doi: 10.1136/bcr-2013-009124.
2
A review of problems following insertion of biliary stents illustrated by an unusual complication.一例罕见并发症所引发的胆管支架置入术后问题综述
Ann R Coll Surg Engl. 2010 May;92(4):W27-31. doi: 10.1308/147870810X12659688852239.
3
An unusual cause of ileal perforation: report of a case and literature review.回肠穿孔的一种罕见病因:病例报告及文献综述
World J Gastroenterol. 2009 Jun 7;15(21):2672-4. doi: 10.3748/wjg.15.2672.
4
Migration of biliary plastic stents: experience of a tertiary center.胆管塑料支架移位:一家三级中心的经验
Surg Endosc. 2009 Apr;23(4):769-75. doi: 10.1007/s00464-008-0067-x. Epub 2008 Jul 23.
5
Iatrogenic duodenal perforations caused by endoscopic biliary stenting and stent migration: an update.内镜下胆管支架置入术所致医源性十二指肠穿孔及支架移位:最新进展
Endoscopy. 2006 Dec;38(12):1271-4. doi: 10.1055/s-2006-944960.
6
Palliative bile duct drainage - a new endoscopic method of introducing a transpapillary drain.姑息性胆管引流——一种引入经乳头引流管的新内镜方法。
Endoscopy. 1980 Jan;12(1):8-11. doi: 10.1055/s-2007-1021702.