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一名梗阻性黄疸患者术中胆管造影后发生急性胰腺炎:病例报告

Acute Pancreatitis After Intraoperative Cholangiogram in a Patient With Obstructive Jaundice: A Case Report.

作者信息

Ng Katrina, Thomas Sabu

机构信息

General Surgery, Kalgoorlie Health Service, Kalgoorlie, AUS.

出版信息

Cureus. 2023 Mar 3;15(3):e35743. doi: 10.7759/cureus.35743. eCollection 2023 Mar.

Abstract

Laparoscopic cholecystectomy with intraoperative cholangiogram is commonly performed, especially when there is suspicion of choledocholithiasis. We present a case of acute pancreatitis post-procedure for management of acute cholecystitis and suspicion of distal common bile duct sludge, potentially caused by the dislodgement of microlithiasis, which resolved on its own with supportive management. This case emphasizes the need to consider acute pancreatitis as a rare but possible post-cholecystectomy complication in a patient who continues to be unwell post-operatively.

摘要

腹腔镜胆囊切除术联合术中胆管造影术是常用的手术方式,尤其是在怀疑有胆总管结石时。我们报告一例急性胆囊炎患者在接受腹腔镜胆囊切除术联合术中胆管造影术治疗后发生急性胰腺炎的病例,该患者怀疑存在远端胆总管胆泥,可能是由微结石移位所致,经支持治疗后自行缓解。该病例强调,对于术后仍感不适的患者,需要考虑急性胰腺炎是一种罕见但可能出现的胆囊切除术后并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6a0/10068026/66d0e2fc267b/cureus-0015-00000035743-i01.jpg

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