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医源性胆石性胰腺炎合并胆管炎:胆囊切除术后钛夹作为胆总管结石形成的病灶

Iatrogenic Gallstone Pancreatitis Complicated by Cholangitis: Post-Cholecystectomy Clip as a Nidus for Common Bile Duct Stone Formation.

作者信息

AlSamman Mohd Amer, Mostafa Abdelmoneim, Ferreira Jason D

机构信息

Department of Medicine, the Warren Alpert Medical School of Brown University, Providence, RI, USA.

The Miriam Hospital, Providence, RI, USA.

出版信息

Gastroenterology Res. 2019 Apr;12(2):100-102. doi: 10.14740/gr1147. Epub 2019 Apr 7.

Abstract

Cholecystectomy is one of the most common surgical procedures in clinical practice. Laparoscopic cholecystectomy has become the gold standard for the management of symptomatic gallstone disease due to its minimally invasive nature and safety with quoted complication rates of under 5%. Surgical clip migration into the bile duct with resultant stone formation is a rare complication of laparoscopic cholecystectomy. Here we present a case of cholangitis in addition to gallstone pancreatitis as a result of surgical clip migration into the bile duct leading to stone formation.

摘要

胆囊切除术是临床实践中最常见的外科手术之一。腹腔镜胆囊切除术因其微创性和安全性,已成为有症状胆结石疾病治疗的金标准,其并发症发生率据报道低于5%。手术夹移位至胆管并导致结石形成是腹腔镜胆囊切除术的一种罕见并发症。在此,我们报告一例因手术夹移位至胆管导致结石形成,进而引发胆管炎及胆石性胰腺炎的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/189b/6469899/6aebeab0a153/gr-12-100-g001.jpg

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