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开腹胆囊切除术后乳糜漏和胆漏:一种罕见的并发症。

Chyle and Bile Leak Following Open Cholecystectomy: A Rare Complication.

作者信息

Alzaghran Raneem, AlGhamdi Faisal S, Alshubaily Fahad, Alhothaifi Essam

机构信息

General Surgery Department, King Saud Medical City, Riyadh, SAU.

General Surgery Department, Prince Sultan Military Medical City, Riyadh, SAU.

出版信息

Cureus. 2024 Apr 30;16(4):e59338. doi: 10.7759/cureus.59338. eCollection 2024 Apr.

Abstract

Gallstone disease is extremely common and frequently and safely treated by cholecystectomy. Chyle leak is a rare but significant side effect of many abdominal surgeries with rarely reported post-cholecystectomy. In this case, we report a 78-year-old lady with multiple comorbidities and symptomatic gallstones who underwent open cholecystectomy complicated by bile and chyle leak, which was successfully managed with endoscopic retrograde cholangiopancreatography (ERCP) and stenting for bile leak and conservative management for the chyle leak, which included drainage, low-fat diet, and octreotide.

摘要

胆结石病极为常见,通常可通过胆囊切除术安全有效地进行治疗。乳糜漏是许多腹部手术罕见但严重的副作用,胆囊切除术后很少有相关报道。在此病例中,我们报告了一位78岁、患有多种合并症且有症状性胆结石的女性患者,她接受了开腹胆囊切除术后并发胆汁和乳糜漏,通过内镜逆行胰胆管造影术(ERCP)和胆管支架置入术成功处理了胆汁漏,并对乳糜漏进行了保守治疗,包括引流、低脂饮食和使用奥曲肽。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc42/11137640/4153f14a3cd8/cureus-0016-00000059338-i01.jpg

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