| Autor: |
Mitchell, Richard, Kerr, Robert, Barton, Jeff, Schmidt, Alan |
| Předmět: |
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| Zdroj: |
American Journal of Gastroenterology (Springer Nature); Oct1991, Vol. 86 Issue 10, p1531-1534, 4p, 3 Black and White Photographs, 1 Chart |
| Abstrakt: |
Foreign bodies of the biliary tree represent infrequent causes of obstructive jaundice. We report a patient who developed biliary obstruction from metal shrapnel, 44 yr after a war injury. From our review of the literature, the syndrome of shrapnel-induced obstructive jaundice may occur many years after the initial injury. In the majority of patients, the missile lodges in the fiver parenchyma, and migrates to the common bile duct. Complications from this injury include cholangitis, pancreatitis, and fiver abscesses. As demonstrated by this case, computed tomography scan and endoscopic retrograde cholangio-panereatogram may reliably detect this infrequent occurrence. With the development of therapeutic biliary procedures, many foreign bodies can be removed endoscopically. Thus, one should consider shrapnel-induced biliary obstruction in those patients with obstructive jaundice and prior combat injury. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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