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腹腔镜胆囊切除术后孤立性右后段胆管损伤导致的延迟性复发性胆漏:一种不寻常的表现。

Delayed, recurrent bile leak from isolated right posterior sectoral duct injury after laparoscopic cholecystectomy: An unusual presentation.

作者信息

Sharma Amit, Ruch Brianna, Alwatari Yahya, Lele Sonia, Bouhaidar Doumit S

机构信息

Hume-Lee Transplant Center Virginia Commonwealth University Richmond Virginia USA.

Division of Gastroenterology Virginia Commonwealth University Richmond Virginia USA.

出版信息

Clin Case Rep. 2022 Jul 18;10(7):e6032. doi: 10.1002/ccr3.6032. eCollection 2022 Jul.

Abstract

Bile leak after cholecystectomy is associated with significant comorbidity. Biliary duct variant anatomy can complicate identification and management. We report a very rare presentation of recurrent delayed bile leaks years after laparoscopic cholecystectomy secondary to missed right posterior sectoral bile duct injury. Surgical intervention was required after the failure of conservative management.

摘要

胆囊切除术后胆漏与严重的合并症相关。胆管变异解剖结构会使识别和处理变得复杂。我们报告了一例非常罕见的情况,即腹腔镜胆囊切除术后数年因右后叶胆管损伤漏诊而出现复发性延迟性胆漏。保守治疗失败后需要进行手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afbd/9291261/407bee7ce0b1/CCR3-10-e6032-g003.jpg

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