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在腹腔镜胆囊切除术后保留胆结石的不常见的晚期壁并发症:一个病例报告

Taher Laabidi¹, Aziz Atallah¹, Zied Hadrich¹

¹Department of Surgery, Mongi Slim Hospital, Marsa 2046, Tunisia.

Journal of surgical case reports

|February 23, 2026

概括

在腹腔镜胆囊切除术 (LC) 后保留的胆结石可能会在手术后的几年内导致罕见的,晚出现的. 及时诊断和手术切除对于患者的康复和预防误诊至关重要.

科学领域:

胃肠病学胃肠病学
手术病理学手术病理学

背景情况:

拉巴镜胆囊切除术 (LC) 后留住的胆结石不常见,但可能导致显著的晚期并发症.
这些并发症,包括和,可能在最初的手术后几年表现出来,这给诊断带来了挑战.

研究的目的:

突出在LC后出现晚期的患者中识别保留胆结石的重要性.
强调这种罕见并发症的诊断和管理策略.

主要方法:

一个70岁的男性病例报告,在LC发生4年后出现了右半球体胀.
诊断成像 (计算机断层扫描) 显示出一个带有胆结石的腹.
通过皮肤排水,手术提取和微生物培养 (Morganella morganii).

主要成果:

成功通过皮肤排水和手术去除从腹中保留的胆结石.
确定摩根氏菌 (Morganella morganii) 是病原体.
没有事件的患者的恢复.

结论:

留住的胆结石,作为异物,可以在LC多年后导致慢性形成.
图像,特别是CT,对于诊断这些延迟并发症至关重要.
完整的外科切除是主要的治疗方法,精细的外科技术是预防的关键.

关键词:

案例报告案例报告腹腔镜胆固醇切除术腹腔镜胆固醇切除术晚期并发症晚期并发症顶部腹顶部腹保留了胆结石的胆结石.

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