钝性肝外伤后胆道出血和持续性胆瘘的处理

Management of hemobilia and persistent biliary fistula after blunt liver trauma.

作者信息

Steiner Z, Brown R A, Jamieson D H, Millar A J, Cywes S

机构信息

Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Rondebosch, South Africa.

出版信息

J Pediatr Surg. 1994 Dec;29(12):1575-7. doi: 10.1016/0022-3468(94)90221-6.

DOI:10.1016/0022-3468(94)90221-6

PMID:7877033

Abstract

A 10-year-old girl had hemobilia and a biliocutaneous fistula after blunt abdominal trauma. Embolization of the right hepatic artery occluded the hepatic artery aneurysm, but the cutaneous biliary fistula persisted despite prolonged (8 months) conservative management including sphincter decompression with an endoscopically placed biliary stent. Roux-en-Y fistuloenterostomy eventually cured the bile leak.

摘要

一名10岁女孩在腹部钝性创伤后出现胆道出血和胆皮瘘。右肝动脉栓塞术闭塞了肝动脉瘤，但尽管进行了长达8个月的保守治疗，包括通过内镜放置胆道支架进行括约肌减压，皮肤胆瘘仍持续存在。Roux-en-Y瘘肠吻合术最终治愈了胆漏。