Gottschalk U, Weber B, Felfe R
I. Medizinische Klinik, Städtisches Krankenhaus im Friedrichshain Berlin.
Z Gastroenterol. 1993 Mar;31(3):201-4.
The present case report describes a 69 year old man who was admitted because of severe pain in the right upper abdomen by condition after a Billroth II resection of the stomach and a obstructive icterus. The reason was a common bile duct stone with a central shell splinter. Due to purulent cholangitis with inflammatory stenosis of the distal ductus choledochus endoscopic removal of the stone was only successful in repeated attempts.
本病例报告描述了一名69岁男性,因胃毕Ⅱ式切除术后病情出现右上腹剧痛和梗阻性黄疸而入院。病因是胆总管结石伴中心壳状碎片。由于化脓性胆管炎伴胆总管远端炎性狭窄,内镜下取石仅在多次尝试后才成功。