在选择性腹腔镜胆囊切除术中,由于逆前列腺出血导致致命的肝衰竭 - - 一份病例报告
Romke Rozema1,2, Joke-Afke van der Zee2, Jacqueline J C van der Meij3
1Department of Surgery, Frisius Medical Center Leeuwarden, Heelkunde Friesland Groep, Henri Dunantweg 2, 8934 AD, Leeuwarden, The Netherlands.
Journal of surgical case reports
|February 9, 2026
概括
腹腔镜胆囊切除术很少会导致严重的并发症. 这一案例凸显了在手术后,胆汁泄漏和尾内出血导致的致命结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
背景情况:
- 腹腔镜胆囊切除术后的术后并发症很少发生,但可能是严重的.
- 关键风险包括出血,胆道损伤,胆汁泄漏以及肠道或血管损伤.
研究的目的:
- 报告一个罕见的病例,在选择性腹腔镜胆囊切除术后出现致命的术后并发症.
- 要强调可能导致严重后果的可能性,包括胆汁泄漏和尾内出血.
主要方法:
- 一个68岁的病人接受了选择性腹腔镜胆囊切除术的案例研究.
- 诊断成像包括计算机断层扫描 (CT) 和内镜逆行胆血管细胞造影 (ERCP).
- 诊断性腹腔镜和尸检进行详细检查.
主要成果:
- 患者在手术后出现了胆汁泄漏和显著的逆皮质出血.
- 脑电图扫描显示了腹膜内和腹膜后的液体,后来发现了对重要结构的压缩.
- 尸体解剖证实,由于多器官衰竭导致的死亡原因是巨大的逆前出血.
结论:
- 选择性腹腔镜胆囊切除术虽然通常是安全的,但会带来罕见但毁灭性的并发症的风险.
- 及时和彻底的调查对于管理术后腹部并发症至关重要.
- 这一案例强调了在差异诊断中考虑严重出血和胆汁泄漏的重要性.
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