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胆囊夹移除后非特异性慢性症状的改善

The Improvement of Nonspecific Chronic Symptoms Post-Gallbladder Clip Removal.

作者信息

Abi El Cheikh Tarek, Vargas Iris Monica, Alili Era, Tiesenga Frederick

机构信息

Surgery, Washington University of Health and Science, Chicago, USA.

Surgery, Saint James School of Medicine, Chicago, USA.

出版信息

Cureus. 2022 Oct 24;14(10):e30625. doi: 10.7759/cureus.30625. eCollection 2022 Oct.

Abstract

Laparoscopic cholecystectomy is the first line of treatment for patients with symptomatic gallstones. Surgical clips made of stainless steel are still used by surgeons during these laparoscopic procedures and are considered relatively safe. These surgical clips, however, have been linked to severe side effects, including weight loss, dermatitis, angioedema, sleep hyperhidrosis, and more. This report documents the case of a 71-year-old female who presented for the removal of surgical stainless steel clips post-cholecystectomy after 16 years of chronic manifestations, including rashes on the torso and breasts, hives, weight loss, chills, and neuropathy due to a previously undiagnosed nickel allergy.

摘要

腹腔镜胆囊切除术是有症状胆结石患者的一线治疗方法。在这些腹腔镜手术过程中,外科医生仍在使用不锈钢制成的手术夹,并且认为它们相对安全。然而,这些手术夹已被发现与严重的副作用有关,包括体重减轻、皮炎、血管性水肿、睡眠多汗症等等。本报告记录了一名71岁女性的病例,她在慢性症状出现16年后前来取出胆囊切除术后的不锈钢手术夹,这些慢性症状包括躯干和乳房皮疹、荨麻疹、体重减轻、寒战以及因先前未诊断出的镍过敏导致的神经病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/9681721/592cdd15b196/cureus-0014-00000030625-i01.jpg

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