在患有米里齐综合征的患者身上,内镜检索迁移的胆管支架,导致十二指肠孔隙
Mohammed Zaid Jaffar Hussain Desai1, Yovan Sumaruth2, Javaid Iqbal3
1General Internal Medicine, Tameside and Glossop Integrated NHS Foundation Trust, Manchester, GBR.
Cureus
|December 10, 2025
概括
在为Mirizzi综合征进行内镜逆行性胆管细胞造影 (ERCP) 之后,胆管支架的罕见并发症是十二指肠穿孔. 这个案例表明,成功地通过内镜去除了迁移的支架,并关闭了穿孔.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 手术前的内镜逆行胆血管细胞造影 (ERCP) 与胆汁支架是米里齐综合征胆汁排水的标准.
- 胆管支架的并发症包括胆管炎,胰腺炎,闭塞和迁移,很少出现肠道穿孔.
研究的目的:
- 报告一例由于迁移的胆管支架而延迟的十二指肠穿孔病例,在Mirizzi综合征的ERCP后.
- 为了突出这种罕见的并发症内镜治疗的可行性.
主要方法:
- 一名患有米里齐综合征的年轻女性接受了ERCP和胆管支架的病例报告.
- 描述由于远端支架迁移而导致的延迟的十二指甲孔穿孔.
- 用内镜去除迁移的支架和缺陷的关闭.
主要成果:
- 在ERCP后,一根直立的塑料胆道支架在远部迁移,穿透了十二指肠.
- 支架延伸到后椎空间.
- 成功地进行了内镜式支架移除和内镜式片关闭十二指肠缺陷.
结论:
- 延迟的十二指肠穿孔是胆管支架的罕见但严重的并发症.
- 内镜治疗是治疗导致十二指肠穿孔的迁移胆道支架的可行和安全的选择.
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