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Oxf Med Case Reports. 2024 Aug 19;2024(8):omae088. doi: 10.1093/omcr/omae088. eCollection 2024 Aug.
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Shrapnel splinter in the common bile duct.胆管中的弹片碎片。
Arch Iran Med. 2010 Jan;13(1):53-6.
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Shell splinter in the common bile duct: a rare cause of obstructive jaundice.胆总管内的贝壳碎片：梗阻性黄疸的罕见病因。
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本文引用的文献

1
Shrapnel splinter in the common bile duct.胆管中的弹片碎片。
Arch Iran Med. 2010 Jan;13(1):53-6.
2
Delayed obstructive jaundice secondary to bullet in common hepatic duct.肝总管子弹伤继发的迟发性梗阻性黄疸
J Coll Physicians Surg Pak. 2007 Apr;17(4):232-3.
3
Biliary obstruction secondary to combat-related foreign bodies: report of two cases.与战斗相关的异物继发胆道梗阻：两例报告
Abdom Imaging. 2005 Nov-Dec;30(6):748-9. doi: 10.1007/s00261-005-0325-5.
4
Sclerosing cholangitis caused by old shrapnel injury.
Gastrointest Endosc. 2003 Sep;58(3):420. doi: 10.1067/s0016-5107(03)00022-1.
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Common duct obstruction by a bullet compression cap: a rare case.子弹压迫帽导致胆总管梗阻：1例罕见病例
Ann Surg. 1962 Aug;156(2):303-6. doi: 10.1097/00000658-196208000-00017.
6
Impaction of a shrapnel splinter in the common bile duct after migrating from the right thoracic cavity: report of a case.一枚弹片从右胸腔移行后嵌顿于胆总管：病例报告
Surg Today. 2002;32(4):383-5. doi: 10.1007/s005950200058.
7
Delayed presentation of a penetrating biliary tract injury in a child.儿童穿透性胆道损伤的延迟表现。
J Trauma. 1996 Jan;40(1):157-8. doi: 10.1097/00005373-199601000-00035.
8
[Obstructive jaundice after granade splinter injury 49 years ago].[49年前手榴弹碎片伤后出现的梗阻性黄疸]
Z Gastroenterol. 1993 Mar;31(3):201-4.
9
Shell splinter in the common bile duct: a rare cause of obstructive jaundice.胆总管内的贝壳碎片：梗阻性黄疸的罕见病因。
Am J Surg. 1981 Mar;141(3):376-7. doi: 10.1016/0002-9610(81)90200-2.
10
Biliary obstruction secondary to shrapnel.
Am J Gastroenterol. 1991 Oct;86(10):1531-4.

胆总管内的弹片碎片。

Sharpnel splinter in the common bile duct.

作者信息

Abbas Ahmad, Al-Theab Faiz

机构信息

Department of Gastroenterology, Damascus Hospital, Ministry of Health, Damascus, Syria.

出版信息

Oxf Med Case Reports. 2024 Aug 19;2024(8):omae088. doi: 10.1093/omcr/omae088. eCollection 2024 Aug.

DOI:10.1093/omcr/omae088
PMID:39161846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11331629/
Abstract

Foreign bodies are a rare cause of obstructive jaundice. In this case report, we present the case of a 59-year-old male who presented with abdominal pain and obstructive jaundice, which was later found out to be caused by an impacted shrapnel splinter in the common bile duct 7 years after a combat injury. To our knowledge, this is the first documented case from Syria. This case report is a reminder that impacted foreign bodies should be considered as a potential cause of obstructive jaundice in patients with previous combat injury.

摘要

异物是梗阻性黄疸的罕见病因。在本病例报告中，我们呈现了一名59岁男性的病例，该患者出现腹痛和梗阻性黄疸，后来发现是由战伤7年后胆总管内一枚嵌顿的弹片碎片所致。据我们所知，这是叙利亚首例有记录的病例。本病例报告提醒我们，对于有过战伤的患者，应将嵌顿异物视为梗阻性黄疸的潜在病因。