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内镜逆行胰胆管造影术治疗胆总管结石后发生肝包膜下胆汁瘤的罕见并发症

Rare Complication of a Subcapsular Hepatic Biloma Following Endoscopic Retrograde Cholangiopancreatography for Choledocholithiasis.

作者信息

Ali Thoufeer, Iqbal Mohammed, Rizwan Hameed, Sebastian Imalda

机构信息

Internal Medicine, Wrexham Maelor Hospital, Wrexham, GBR.

Gastroenterology, Wrexham Maelor Hospital, Wrexham, GBR.

出版信息

Cureus. 2025 Jun 17;17(6):e86181. doi: 10.7759/cureus.86181. eCollection 2025 Jun.

DOI:10.7759/cureus.86181
PMID:40677438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12268304/
Abstract

A subcapsular biloma is an uncommon but potentially serious complication of endoscopic retrograde cholangiopancreatography (ERCP). We present the case of a middle-aged woman who developed a symptomatic subcapsular hepatic biloma following ERCP for choledocholithiasis. She was treated with a combination of interventional radiology-guided drainage and repeat ERCP. Early imaging and close clinical monitoring were important to her recovery. This case underscores the importance of maintaining a significant suspicion for atypical post-ERCP presentations and intervening promptly to avoid complications.

摘要

肝包膜下胆汁瘤是内镜逆行胰胆管造影术（ERCP）一种罕见但可能严重的并发症。我们报告了一例中年女性病例，该患者因胆总管结石接受ERCP术后出现有症状的肝包膜下胆汁瘤。她接受了介入放射学引导下引流和重复ERCP的联合治疗。早期影像学检查和密切的临床监测对她的康复很重要。该病例强调了对ERCP术后非典型表现保持高度怀疑并及时干预以避免并发症的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/65d7aa165f22/cureus-0017-00000086181-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/e5a60c39b68f/cureus-0017-00000086181-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/84172279dd13/cureus-0017-00000086181-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/ea240050fdc1/cureus-0017-00000086181-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/3585ed980f21/cureus-0017-00000086181-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/31a0d1bf5fca/cureus-0017-00000086181-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/65d7aa165f22/cureus-0017-00000086181-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/e5a60c39b68f/cureus-0017-00000086181-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/84172279dd13/cureus-0017-00000086181-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/ea240050fdc1/cureus-0017-00000086181-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/3585ed980f21/cureus-0017-00000086181-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/31a0d1bf5fca/cureus-0017-00000086181-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5baf/12268304/65d7aa165f22/cureus-0017-00000086181-i06.jpg

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