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肝动脉分支假性动脉瘤和复发性膈下脓肿:腹腔镜胆囊切除术后两种罕见并发症

False aneurysm of a hepatic artery branch and a recurrent subphrenic abscess: two unusual complications after laparoscopic cholecystectomy.

作者信息

Porte R J, Coerkamp E G, Koumans R K

机构信息

Department of Surgery, Westeinde Hospital, The Hague, The Netherlands.

出版信息

Surg Endosc. 1996 Feb;10(2):161-3. doi: 10.1007/BF00188363.

Abstract

Although laparoscopic cholecystectomy has become a safe and effective alternative for open cholecystectomy as treatment of symptomatic cholelithiasis, it may be followed by different complications. Two cases are presented with unusual complications after laparoscopic cholecystectomy. One patient was readmitted 11 days after laparoscopic cholecystectomy with severe upper abdominal pain and a false aneurysm of a branch of the right hepatic artery. The other patient developed a recurrent subphrenic abscess 10 months after the initial operation, which eventually was shown to be caused by a lost gallstone. Although these are rare complications of laparoscopic cholecystectomy, they should be recognized as potential causes of recurrent abdominal pain, even months after the procedure.

摘要

尽管腹腔镜胆囊切除术已成为治疗症状性胆结石的一种安全有效的开腹胆囊切除术替代方法,但它可能会引发不同的并发症。本文介绍了两例腹腔镜胆囊切除术后出现异常并发症的病例。一名患者在腹腔镜胆囊切除术后11天因严重上腹痛和右肝动脉分支假性动脉瘤再次入院。另一名患者在初次手术后10个月出现复发性膈下脓肿,最终发现是由一颗遗留的胆结石引起的。尽管这些是腹腔镜胆囊切除术的罕见并发症,但即使在手术后数月,它们也应被视为复发性腹痛的潜在原因。

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