在内镜超声波导向肝胃术后,深绿色的尿液:一个病例报告
Ke-Yi Zhang1, Qi He1, Yu Jin1
1Department of Gastroenterology, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China.
World journal of gastroenterology
|September 12, 2025
概括
透视超声导向肝胃肠切除术 (EUS-HGS) 可能导致罕见的并发症,如深绿色的尿液,可能是由于胆管血管. 警的术后监测对于早期发现和管理这些不寻常事件至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 手术并发症 手术并发症
背景情况:
- 内镜超声引导胆管排水 (EUS-BD),包括EUS引导肝胃肠切除术 (EUS-HGS),为ERCP提供了有效的替代方案.
- 常见的EUS-HGS并发症包括胆汁泄漏,感染,支架迁移和出血.
研究的目的:
- 在EUS-HGS之后报告一种非典型的深绿色尿液病例.
- 为了突出异常胆血管的可能性,作为这种罕见并发症的原因.
主要方法:
- 一名患有胰腺腺癌的76岁女性接受了EUS-HGS治疗黄.
- 术后监测显示腹部疼痛,胸部紧张,排尿困难,以及深绿色的多叶膜溢出和尿液.
主要成果:
- 患者出现深绿色尿液,每天出现并通过静脉注射治疗解决.
- 胸腔溢液消失,但炎增加,并观察到内部细分的病变.
结论:
- 这一案例强调了在EUS-HGS后进行彻底的术后监测的重要性.
- 早期识别罕见和隐藏的并发症,如胆管-血管,对于患者的管理至关重要.
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