[由于胆道假肢的迁移而引起的急性尾炎]
Daniel Moreno M1, Herman Viveros G1, Claudio Muñoz Z1
1Cirujano Clínica Bupa Santiago, Santiago, Chile.
概括
一个迁移的胆管支架在一个78岁的病人身上引起了急性尾炎. 非手术内镜支架的去除成功地治疗了这种罕见的尾阻塞,使患者能够迅速出院.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科手术 腹部外科手术
- 医疗成像医学成像
背景情况:
- 全球范围内,急性尾炎是经常出现的外科紧急情况.
- 尾孔阻塞是尾炎的常见原因之一.
- 胆汁支架迁移是一种不常见但严重的并发症.
研究的目的:
- 报告一种罕见的急性尾炎病例,由迁移的胆管支架引起.
- 为了突出成功的非手术管理这种情况.
- 强调在腹部病理中考虑异常病因的重要性.
主要方法:
- 腹部和骨盆的计算机断层扫描 (CT) 被用于诊断.
- 进行了内镜逆行胆血管细胞造影 (ERCP),以进行支架切除.
- 对于这个患者,选择了非手术治疗.
主要成果:
- 患者出现了急性尾炎的症状.
- 电脑图像扫描显示,由迁移的胆管支架造成的尾孔阻塞.
- 内镜切除支架是成功的,导致症状的解决.
- 患者在入院72小时后就出院了.
结论:
- 迁移的胆道支架可以导致急性尾炎.
- 通过内镜切除支架进行非手术治疗是一种可行的治疗选择.
- 早期诊断和干预对于尾炎的良好结果至关重要.
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