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近端胆管支架移位导致心脏压塞

Proximal Biliary Stent Migration Causing Cardiac Tamponade.

作者信息

Pokala Sridevi K, Attwell Augustin R

机构信息

University of Colorado Anschutz Medical Campus, Denver, CO.

Colorado University at Denver, Denver Health Medical Center, Denver, CO.

出版信息

ACG Case Rep J. 2023 Jan 5;9(12):e00924. doi: 10.14309/crj.0000000000000924. eCollection 2022 Dec.

DOI:10.14309/crj.0000000000000924
PMID:36628372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9820785/
Abstract

Plastic biliary stents are commonly placed during endoscopic retrograde cholangiopancreatography for various indications, and stent-related complications are uncommon. We describe a case in which a plastic biliary stent migrated proximally through the liver capsule and diaphragm after endoscopic retrograde cholangiopancreatography, leading to pericardial effusion and cardiac tamponade. It is important for clinicians managing patients with biliary stents to be aware of this significant adverse event.

摘要

塑料胆管支架常用于内镜逆行胰胆管造影术以治疗各种病症,支架相关并发症并不常见。我们描述了一例在内镜逆行胰胆管造影术后,塑料胆管支架经肝包膜和膈肌向近端移位,导致心包积液和心脏压塞的病例。对于管理胆管支架患者的临床医生而言,了解这一严重不良事件非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/4db855d594b9/ac9-9-e00924-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/81e1b15fabc0/ac9-9-e00924-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/b1a9be8e5693/ac9-9-e00924-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/245ac6ce150d/ac9-9-e00924-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/aa87965b354a/ac9-9-e00924-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/4db855d594b9/ac9-9-e00924-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/81e1b15fabc0/ac9-9-e00924-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/b1a9be8e5693/ac9-9-e00924-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/245ac6ce150d/ac9-9-e00924-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/aa87965b354a/ac9-9-e00924-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a501/9820785/4db855d594b9/ac9-9-e00924-g005.jpg

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本文引用的文献

1
Bacterial Pericarditis Caused by Penetration of a Migrated Biliary Stent from the Lateral Segment of the Liver: A Case Report.细菌性心包炎由从肝外侧段迁移的胆道支架穿透引起:病例报告。
Medicina (Kaunas). 2022 Jan 15;58(1):132. doi: 10.3390/medicina58010132.
2
Non-Operative Management of Bronchobiliary Fistula Due to Proximal Migration of Biliary Stent in a Patient With Unresectable Klatskin Tumor.不可切除的肝门部肿瘤患者因胆道支架近端移位导致支气管胆瘘的非手术治疗
Clin Med Insights Case Rep. 2021 Aug 31;14:11795476211043067. doi: 10.1177/11795476211043067. eCollection 2021.
3
Transhepatic intraperitoneally migrated biliary stent: A rare finding during laparoscopic cholecystectomy.
经肝腹腔内移位的胆管支架:腹腔镜胆囊切除术中的罕见发现。
J Minim Access Surg. 2021 Jan-Mar;17(1):85-87. doi: 10.4103/jmas.JMAS_32_20.
4
Pericardiobiliary Fistulation: A Rare Complication of Therapeutic ERCP in a Patient With IgG4-Related Sclerosing Cholangitis.心包胆道瘘:IgG4相关性硬化性胆管炎患者治疗性内镜逆行胰胆管造影术的一种罕见并发症
ACG Case Rep J. 2015 Jul 9;2(4):242-4. doi: 10.14309/crj.2015.72. eCollection 2015 Jul.
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Risk factors for proximal migration of biliary tube stents.胆管支架近端移位的危险因素。
World J Gastroenterol. 2014 Feb 7;20(5):1318-24. doi: 10.3748/wjg.v20.i5.1318.
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Biliary stent migration as a cause of cardiac tamponade.胆道支架移位致心脏压塞。
J Cardiovasc Med (Hagerstown). 2013 Oct;14(10):750-2. doi: 10.2459/JCM.0b013e3283632933.
7
Migration of biliary plastic stents: experience of a tertiary center.胆管塑料支架移位:一家三级中心的经验
Surg Endosc. 2009 Apr;23(4):769-75. doi: 10.1007/s00464-008-0067-x. Epub 2008 Jul 23.
8
Hepaticogastric fistulation from a proximally migrated biliary stent.近端移位的胆道支架导致肝胃瘘。
Gastrointest Endosc. 2003 Aug;58(2):295-7. doi: 10.1067/mge.2003.355.
9
Biliary pneumonitis after proximal stent migration.近端支架移位后发生的胆汁性肺炎。
Gastrointest Endosc. 2001 Sep;54(3):382-4. doi: 10.1067/mge.2001.113646.
10
Trans-hepatic proximal migration of percutaneous-endoscopic biliary stent presenting as an abdominal wall abscess.经肝的经皮内镜胆道支架近端移位表现为腹壁脓肿
Gastrointest Endosc. 1996 Feb;43(2 Pt 1):152-4. doi: 10.1016/s0016-5107(06)80121-5.