Cholangitis mit Ausbildung eines subphrenischen Leberabszesses nach komplizierter Cholezystektomie auf dem Boden verschlossener Plastikstents
| Autor: | J Schoelmerich, I Zuber-Jerger, Frank Kullmann |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Percutaneous Common bile duct business.industry medicine.medical_treatment Perforation (oil well) Gastroenterology Intrahepatic bile ducts medicine.disease Surgery Contrast medium medicine.anatomical_structure medicine Cholecystectomy medicine.symptom Abscess business |
| Zdroj: | Zeitschrift für Gastroenterologie. 44:319-322 |
| ISSN: | 1439-7803 0044-2771 |
| DOI: | 10.1055/s-2005-858973 |
| Popis: | A 62-year-old lady presented with fever and abdominal pain. History revealed cholecystectomy two years ago due to cholecystolithiasis, complicated by perforation of the common bile duct, leading to hepaticojejunostomy, jejunocholedochostomy, endoscopic retrograde insertion of two plastic stents and percutaneous drainage of bilioma. The patient was lost to follow-up until she presented two years later in the emergency room. ERC was performed. Both stents were occluded. After extraction dirty bile popped out. Injection of contrast medium showed stones in the remaining common bile duct and dilatation of the intrahepatic bile ducts and the interposed jejunum. After stone extraction a subphrenic intrahepatic fluid collection became visible when injecting contrast medium in the intrahepatic bile ducts. Pus was aspirated. The abscess was drained with a nasobiliary tube. Antibiotics were given. Temperature and CRP normalized. The nasobiliary tube was removed when the biliary fluid was clear. Recovery was uneventful with complete resolution of symptoms. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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