Dev V, Shah D, Gaw F, Lefor A T
Department of Surgery, Kern Medical Center, Bakersfield, CA 93305, USA.
JSLS. 1998 Apr-Jun;2(2):185-8.
Postcholecystectomy bilomas are relatively uncommon with a reported incidence of about 2.5%, and most often present with right upper quadrant pain and fever within seven days of the operation. There are a number of approaches to the treatment of this uncommon lesion.
The authors report a case of a cholecystectomy performed in a 35-year-old female which resulted in a biloma, presenting 11 days postoperatively with gastric outlet obstruction. The literature is reviewed to suggest the optimal management and treatment plans for this complication.
This patient was successfully managed with radiologic intervention for the treatment of a biloma and resulting gastric outlet obstruction after open cholecystectomy.
Although uncommon, bilomas may present in an unusual manner such as with gastric outlet obstruction. As with early bilomas, they may be treated successfully with interventional radiologic techniques.
胆囊切除术后胆汁瘤相对少见，报道的发生率约为2.5%，多数在术后7天内出现右上腹疼痛和发热。对于这种少见病变有多种治疗方法。
作者报告一例35岁女性接受胆囊切除术后发生胆汁瘤的病例，术后11天出现胃出口梗阻。回顾文献以提出针对该并发症的最佳管理和治疗方案。
该患者通过放射介入治疗成功处理了开腹胆囊切除术后出现的胆汁瘤及由此导致的胃出口梗阻。
尽管胆汁瘤少见，但可能以不寻常的方式出现，如胃出口梗阻。与早期胆汁瘤一样，它们可通过介入放射学技术成功治疗。
