胆总管结石患者内镜下球囊扩张术中意外球囊破裂并发症的手术处理
Surgical procedure for unexpected balloon burst complication during endoscopic balloon dilatation in a patient with common bile duct stones.
作者信息
Morishita Koji, Sasaki Hideaki
机构信息
Department of Acute Critical Care and Disaster Medicine, Tokyo Medical and Dental University Hospital of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Department of Emergency Medicine, Okinawa Red Cross Hospital, Okinawa, Japan.
出版信息
Surg Case Rep. 2020 Oct 2;6(1):258. doi: 10.1186/s40792-020-01014-5.
BACKGROUND
Endoscopic balloon dilatation (EBD) is the established treatment for common bile duct (CBD) stones. Although pancreatitis and bleeding have been reported as major complications of EBD, balloon-related complications are rarely reported in EBD.
CASE PRESENTATION
A 30-year-old woman with suspected CBD stones underwent endoscopic retrograde cholangiopancreatography (ERCP) and EBD. During EBD, the balloon of the EBD catheter suddenly burst at the biliary sphincter. We therefore performed surgical intervention: removal of the broken EBD catheter and T-tube drainage. Finally, the patient was discharged without any complications.
CONCLUSIONS
We present a case involving a burst balloon of an EBD catheter as a rare complication during EBD, as well as the surgical technique that was used to treat this complication.
背景
内镜下球囊扩张术（EBD）是治疗胆总管（CBD）结石的既定方法。虽然胰腺炎和出血已被报道为EBD的主要并发症，但球囊相关并发症在EBD中很少被报道。
病例报告
一名怀疑患有CBD结石的30岁女性接受了内镜逆行胰胆管造影术（ERCP）和EBD。在EBD过程中，EBD导管的球囊在胆管括约肌处突然破裂。因此，我们进行了手术干预：取出破裂的EBD导管并进行T管引流。最后，患者出院时没有任何并发症。
结论
我们报告了一例EBD导管球囊破裂作为EBD期间罕见并发症的病例，以及用于治疗该并发症的手术技术。
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