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腹腔镜治疗婴儿自发性胆管穿孔1例罕见病例

Laparoscopic Management of a Rare Case of Spontaneous Biliary Perforation in an Infant.

作者信息

Gupta Tarun, Mandelia Ankur, Yadav Rajanikant R, Kumar Tarun, Agarwal Nishant, Kanneganti Pujana, Verma Anju, Nair Biju, Buan Amit

机构信息

Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

出版信息

J Indian Assoc Pediatr Surg. 2024 Nov-Dec;29(6):640-643. doi: 10.4103/jiaps.jiaps_137_24. Epub 2024 Nov 5.

DOI:10.4103/jiaps.jiaps_137_24
PMID:39691935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11649049/
Abstract

Spontaneous biliary perforation is a rare condition, predominantly observed in infants, characterized by the leakage of bile into the peritoneal cavity without any apparent cause. This case report discusses a 3-month-old female infant who presented with symptoms of jaundice and abdominal distension. The successful management of this case with a combination of ultrasound-guided percutaneous drainage and laparoscopic cholecystostomy is detailed, highlighting the importance of minimally invasive techniques in treating this condition.

摘要

自发性胆穿孔是一种罕见疾病，主要见于婴儿，其特征为胆汁无明显原因地漏入腹腔。本病例报告讨论了一名3个月大的女婴，她出现黄疸和腹胀症状。详细介绍了通过超声引导下经皮引流和腹腔镜胆囊造口术联合成功治疗该病例的情况，突出了微创技术在治疗这种疾病中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480b/11649049/920aebff530b/JIAPS-29-640-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480b/11649049/120bd9e44221/JIAPS-29-640-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480b/11649049/920aebff530b/JIAPS-29-640-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480b/11649049/120bd9e44221/JIAPS-29-640-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480b/11649049/920aebff530b/JIAPS-29-640-g002.jpg

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本文引用的文献

1
Spontaneous common bile duct perforation in full term pregnancy: a rare case report and review of literature.足月妊娠合并自发性胆总管穿孔：1 例罕见病例报告并文献复习。
BMC Surg. 2021 May 8;21(1):239. doi: 10.1186/s12893-021-01230-2.
2
Spontaneous biliary perforation in infancy: Management strategies and outcomes.婴儿自发性胆道穿孔：治疗策略与结局
J Pediatr Surg. 2015 Jul;50(7):1137-41. doi: 10.1016/j.jpedsurg.2014.07.012. Epub 2014 Aug 27.
3
Spontaneous Biliary Perforations: An Uncommon yet Important Entity in Children.自发性胆管穿孔：儿童中一种罕见但重要的病症。
J Clin Diagn Res. 2013 Jun;7(6):1201-6. doi: 10.7860/JCDR/2013/5429.3076. Epub 2013 Jun 1.
4
Spontaneous perforation of common bile duct in a pediatric patient: application of hepatobiliary scintigraphy.小儿患者胆总管自发性穿孔：肝胆闪烁成像的应用。
Clin Nucl Med. 2012 Oct;37(10):1006-8. doi: 10.1097/RLU.0b013e318263928f.
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Spontaneous perforation of the bile duct in infancy and childhood: a systematic review.婴幼儿期胆管自发性穿孔：一项系统评价
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The spectrum of surgical jaundice in infancy.婴儿期外科黄疸的范围
J Pediatr Surg. 2003 Oct;38(10):1471-9. doi: 10.1016/s0022-3468(03)00498-6.
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Does pancreatico-biliary maljunction play a role in spontaneous perforation of the bile duct in children?胰胆管合流异常在儿童胆管自发性穿孔中起作用吗？
Pediatr Surg Int. 2000;16(8):550-3. doi: 10.1007/s003830000433.
9
Spontaneous perforation of the biliary tract in infancy: a series of 11 cases.婴儿期胆道自发性穿孔：11例系列报道
Eur J Pediatr Surg. 1996 Dec;6(6):341-6. doi: 10.1055/s-2008-1071011.
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Choledochal cysts: lessons from a 20 year experience.胆总管囊肿：20年经验教训
Arch Dis Child. 1995 Dec;73(6):528-31. doi: 10.1136/adc.73.6.528.