在胆囊静脉切除术后,在一个免疫力受损的老年男性中,胆囊膜溢出
Amro Al Radaideh1, Amritpal Jagra1, Murad Qirem1
1Department of Internal Medicine, Saint Michael's Medical Center, Newark, USA.
European journal of case reports in internal medicine
|January 15, 2026
概括
胆脉 (BPF) 是肝脏手术后的罕见并发症,需要及时诊断. 通过肺部液体分析和成像进行早期检测,然后进行排水和ERCP,对于免疫受损患者的康复至关重要.
科学领域:
- 肝胆道手术 肝胆道手术
- 干预性放射学 干预性放射学
- 肺部病理学 肺部病理学
背景情况:
- 胆脉囊 (BPF) 是肝胆干预后的一种罕见但严重的并发症.
- 它通常表现为胆性多流,造成诊断挑战,特别是在免疫功能受损的个体.
研究的目的:
- 强调在肝胆后手术中出现新的肺流的患者考虑BPF的重要性.
- 强调早期诊断措施和多学科管理在实现有利结果中的作用.
主要方法:
- 一个74岁的男性患有血栓性血栓性性紫外线 (TTP) 的病例报告,在穿皮胆囊切除术后患有BPF.
- 诊断工作包括胸腔切除以分析腹液和高级成像以识别状管道.
- 治疗包括胸管排水,抗生素和内镜逆行胆血管细胞造影 (ERCP) 以减压胆道.
主要成果:
- 患者呈现出右侧膜溢出和发烧,胸腔切口检查显示出胆汁液.
- 图像检查证实肝脏有一个状通道.
- 多学科治疗方法成功关闭了管,导致完全康复.
结论:
- 在肝胆干预后出现新的肺流的患者中,必须怀疑BPF,特别是免疫功能受损的宿主.
- 早期诊断依赖于肺液胆红素分析和向成像.
- 涉及ERCP和排水的协调管理策略对于成功的结果至关重要.
相关概念视频
01:28Pleural Effusion II: Symptoms and Management
652
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
652
01:29Pneumonia II: Pathophysiology
2.6K
The pathophysiology of pneumonia involves the following steps:
2.6K
01:25Pleural Effusion I: Introduction
3.9K
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
3.9K
01:30Pneumonia I: Introduction
728
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
728
01:17Chronic Bowel Disorders: Introduction
746
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...
746
01:30Pneumonia III: Complications and Assessment
786
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
786