腹腔镜胆囊切除术后不明原因的术后腹水：病例报告。
Post-operative ascites of unknown origin after laparoscopic cholecystectomy: Case report.
作者信息
Alavi Farzaneh Babak, Alipour Mehdi, Reisi-Vanani Vahid
机构信息
Department of Surgery, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Student Research Committee, Shahrekord University of Medical Sciences, Shahrekord, Iran.
出版信息
Ann Med Surg (Lond). 2022 Mar 4;76:103431. doi: 10.1016/j.amsu.2022.103431. eCollection 2022 Apr.
INTRODUCTION AND IMPORTANCE
Post Laparoscopic cholecystectomy ascites is a rare complication that might be due to biliary leak, lymph duct injuries, infections, peritoneal reaction bowel injuries, malignancies and etc.
CASE PRESENTATION
Here we have reported post-cholecystectomy ascites presented with hypovolemic shock in a women of unknown origin. Different possible etiologies have been ruled out for her but her intra-peritoneal secretions had been decreased about one week of hospitalization and was discharged without figuring out its etiology.
CLINICAL DISCUSSION
Post-cholecystectomy ascites is a rare condition that could be caused by biliary leak, lymphatic leak, ovarian hyper stimulation syndrome, infections, peritoneal reactions and malignancies that all of them should be considered for these patients to manage their problem.
CONCLUSION
The exact cause of ascites in the presented case was still unknown and the condition was controlled by administration of corticosteroids, octreotide, albumin, and insertion of the stents in biliary ducts. More investigation esp. on immunologic causes are needed.
引言与重要性
腹腔镜胆囊切除术后腹水是一种罕见的并发症，可能由胆漏、淋巴管损伤、感染、腹膜反应性肠损伤、恶性肿瘤等引起。
病例介绍
在此我们报告了一例病因不明的女性患者，胆囊切除术后腹水伴低血容量性休克。已排除其不同的可能病因，但住院约一周后其腹腔内液体分泌减少，出院时仍未明确病因。
临床讨论
胆囊切除术后腹水是一种罕见病症，可能由胆漏、淋巴漏、卵巢过度刺激综合征、感染、腹膜反应和恶性肿瘤引起，对于这些患者，所有这些病因都应予以考虑以解决问题。
结论
该病例中腹水的确切病因仍不清楚，通过给予皮质类固醇、奥曲肽、白蛋白以及在胆管中置入支架，病情得到了控制。需要进行更多调查，尤其是关于免疫原因的调查。
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