常见的胆管支架石复合物:被遗忘的胆管支架病例系列的无声威胁
Ranjish Parshaila1, Nikhil Agarwal1, Bindu Adhikari2
1Department of Gastrointestinal Surgery, Birat Medical College, Tankisinuwari, Biratnagar, Morang 56613, Province 1, Nepal.
Journal of surgical case reports
|November 27, 2025
概括
被遗忘的胆管支架可以形成罕见的支架石复合体,导致急性胆管炎和黄等并发症. 对于这些复杂的病例,外科手术往往是必要的.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
背景情况:
- 胆固醇胆病是胆道阻塞的常见原因之一.
- 胆道支架周围的支架石复杂形成是一种极其罕见的并发症.
研究的目的:
- 报告两起罕见的被遗忘的普通胆道支架-石头复合物的罕见病例.
- 要突出诊断挑战和管理这种罕见的并发症.
主要方法:
- 两名患者的病例报告忘记了常见胆道支架-石头复合体.
- 对临床表现,诊断成像 (磁共振胆血管细胞造影,超声波) 和手术管理的审查.
主要成果:
- 两位患者都出现了急性胆管炎和阻塞性黄.
- 支架石复合物得到证实,需要进行手术干预.
- 由于石头包装,在最初的成像中很难将支架可视化.
结论:
- 支架石复杂是一种罕见的长期并发症,是被遗忘的胆管支架.
- 手术干预是对有症状的支架石复合体的首选治疗方法.
- 预防措施包括仔细的病史和咨询,以便及时切除支架.
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