因胰腺结石而导致的胆道出口阻塞在胆囊切除术后的患者身上
Joey Almaguer1, Dylan Murray2, Matthew Murray3
1Department of Radiology, Texas Tech University Health Sciences Center School of Medicine, Amarillo, USA.
Cureus
|August 31, 2023
概括
胰腺结石或结石可以导致胆道阻塞,这是慢性胰腺炎的罕见并发症. 本案例研究详细介绍了一名患者的胆结石迁移,导致胆道堵塞,并通过石头移除和支架成功治疗.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 内分泌学 在内分泌学.
背景情况:
- 慢性胰腺炎可能导致胆道狭窄和恶性瘤,导致胆道出口阻塞.
- 直接由胰腺结石引起的胆道阻塞很少被观察到.
- 患者病史包括慢性酒和之前的胆囊切除术.
研究的目的:
- 报告一种罕见的胰腺结石引起的胆道阻塞病例.
- 突出这一特定疾病的诊断和治疗方法.
主要方法:
- 一份病例报告详细介绍了一名患有慢性胰腺炎的患者.
- 诊断成像包括CT和胆血管学.
- 干预性手术:内镜缩膜切除术,胰腺结石切除,胆管支架安置.
主要成果:
- 胆血管学排除了胆管狭窄,伪囊和恶性瘤.
- 十多年的CT成像显示胰腺结石形成,迁移和随后的胆道阻塞.
- 治疗导致实验室值的正常化和临床症状的消失.
结论:
- 胰腺结石可以直接导致胆道阻塞,即使没有并发性狭窄或恶性瘤.
- 内镜管理是有效的消除阻塞胰腺结石和缓解胆道阻塞.
- 这一案例强调了考虑胰腺结石作为慢性胰腺炎患者胆道阻塞的原因的重要性.
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