Wirbel R J, Habermann W, Futterer K, Voigt J, Kirchner R, Banhardt U
Chirurgische Klinik, St.-Vincentius-Krankenhäuser, Karlsruhe.
Leber Magen Darm. 1994 Mar;24(2):81-3.
Biliary pseudocysts, so-called biliomas are reported to be an extreme rarity and mostly arising posttraumatic. We report on a case of symptomatic choledocholithiasis 7 years after cholecystectomy. The course was complicated by formation of a biliary pseudocyst. The 71-year-old, septic patient could not be operated because of pulmonal and cardiac high risks. He could be treated successfully by conservative procedure via endoscopic papillotomy, stone extraction and percutaneous, sonographic controlled drainage of the biliary pseudocyst.
据报道,胆管假性囊肿,即所谓的胆汁瘤极为罕见,且大多由创伤后引起。我们报告一例胆囊切除术后7年出现症状性胆总管结石的病例。病程因胆管假性囊肿的形成而复杂化。这位71岁的败血症患者因肺部和心脏的高风险而无法进行手术。通过内镜乳头切开术、取石术以及在超声引导下经皮引流胆管假性囊肿的保守治疗方法,成功地治愈了该患者。