导航并发症:一个血液静止引起的胆道阻塞病例导致急性胆道炎
Boniface Mensah1, Farhan Ali2, Abdulhameed M Al-Sabban2
1Department of Internal Medicine, MedStar Union Memorial Hospital, Baltimore, MD.
ACG case reports journal
|August 8, 2025
概括
一名患者患有急性胆道炎,原因是错位的十二指肠片阻塞了胆道. 切片的内镜去除和支架的放置成功地解决了胆道阻塞.
科学领域:
- 胃肠病学 胃肠病学
- 胆道医学 胆道医学
- 内镜手术 进行内镜手术
背景情况:
- 急性胆道炎是一种严重的胆道感染,通常需要紧急干预.
- 内镜逆行胆血管细胞造影 (ERCP) 是胆道疾病的关键诊断和治疗工具.
- 内镜手术的并发症虽然很少见,但需要谨慎管理.
研究的目的:
- 报告一种由错位的静血引起的急性胆道炎病例.
- 描述由于内镜外体导致的胆道阻塞的成功管理.
主要方法:
- 评估了一名患有急性胆道炎症状的患者.
- 进行了内镜逆行胆血管细胞造影 (ERCP) 检查,以确定原因.
- 干预性内镜技术用于治疗.
主要成果:
- 发现一个静血阻塞了主要的十二指卵泡,导致胆道阻塞.
- 阻塞片成功被移除了.
- 进行了胆管缩切除术和支架安置.
结论:
- 错位的静血片可以导致严重的胆道并发症.
- 内镜干预是有效的管理这些并发症.
- 及时诊断和治疗对于患者的康复至关重要.
相关概念视频
Chronic Bowel Disorders: Introduction
541
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
541
Venous Thrombosis I: Introduction
41
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
41
Acute Pancreatitis II: Clinical Manifestations and Management
177
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
177
Introduction to Hemostasis
8.9K
Hemostasis is a complex physiological process that prevents excessive bleeding when a blood vessel is injured. It's crucial for maintaining the integrity of the circulatory system, as it ensures that our blood remains fluid while still within the vascular network and yet clots to prevent blood loss upon vessel injury.
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
8.9K
Extrinsic and Intrinsic Pathways of Hemostasis
9.2K
Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
9.2K
Endoscopic Procedures V: ERCP
916
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
916


