内镜超声引导下细针穿刺术后感染性胆汁瘤
Infected Biloma after Endoscopic Ultrasound-Guided Fine-Needle Aspiration.
作者信息
Aourarh Benayad, Adioui Tarik, Benhamdane Ahlame, Berrag Sanaa, Tamzaourte Mouna, Aourarh Aziz, Belkouchi Lina, Saouab Rachida
机构信息
Department of Gastroenterology I, Mohammed V Military Hospital, Faculty of medicine and pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
Department of Radiology, Mohammed V Military Hospital, Faculty of medicine and pharmacy, Mohammed V University, Rabat, Morocco.
出版信息
Case Rep Gastroenterol. 2022 Mar 28;16(1):154-158. doi: 10.1159/000522410. eCollection 2022 Jan-Apr.
Biloma is a severe complication that can result from bile duct disruption or hepatic trauma. It can occur after biliary surgery such as cholecystectomy or an endoscopic retrograde cholangiopancreatography manipulation and endoscopic biliary sphincterotomy. We present the case of a 59-year-old man admitted for jaundice, with pain in his right flank and fever, 10 days after an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for an ill-defined pancreatic lesion, associated with an infected biloma. Severe complications can occur after an EUS-FNA; therefore, this diagnosis should not be neglected after the intervention in symptomatic patients, to ensure an early and proper treatment.
胆汁瘤是一种严重的并发症，可由胆管破裂或肝脏创伤引起。它可发生在诸如胆囊切除术、内镜逆行胰胆管造影术操作及内镜下胆管括约肌切开术等胆道手术后。我们报告一例59岁男性患者，因黄疸、右胁腹疼痛及发热入院，该患者在接受内镜超声引导下细针穿刺抽吸术（EUS-FNA）以明确一个不明胰腺病变10天后，出现了感染性胆汁瘤。EUS-FNA术后可能发生严重并发症；因此，对于有症状的患者，干预后不应忽视这一诊断，以确保早期及恰当的治疗。
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