经皮经肝胆道介入治疗肝空肠吻合术后继发于肝内胆管结石的复发性胆管炎

Q4 Medicine

Radiology Case Reports Pub Date : 2024-11-26 DOI:10.1016/j.radcr.2024.10.079

Dr Kevin Oreo , Dr Oliver Chen , Vincent Lam , Nicholas Burgess , Rafid Al-Asady

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引用次数: 0

摘要

复发性胆管炎、肝内结石、胆道和吻合口狭窄是鲁氏-Y 型肝空肠吻合术后常见的并发症。由于手术改变了解剖结构，因此采用内镜逆行胰胆管造影术治疗这些并发症在技术上非常困难。我们介绍了一例曾进行过肝空肠吻合术的 25 岁女性的复发性胆管炎病例。采用经皮经肝胆管造影术和胆道镜联合方法，经过多次介入治疗，治疗了肝内结石、胆道狭窄和肝空肠吻合术狭窄。在传统的内镜逆行胰胆管造影介入技术难度太大的情况下，可以考虑采用微创、多学科方法治疗肝内胆管结石和肝空肠吻合术后胆管狭窄。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Percutaneous transhepatic biliary intervention for the management of recurrent cholangitis secondary to intrahepatic biliary stones after hepaticojejunostomy

Recurrent cholangitis, intrahepatic stones and biliary and anastomotic strictures are common complications after Roux-en-Y hepaticojejunostomy. The surgically altered anatomy makes management of these complications with endoscopic retrograde cholangiopancreatography technically difficult. We present a case of recurrent cholangitis in a 25-year-old woman with a prior hepaticojejunostomy. Intrahepatic stones, biliary strictures and hepaticojejunostomy strictures were treated using a combined percutaneous transhepatic cholangiography and cholangioscopy approach over several interventions. Minimally invasive, multidisciplinary approach to the management of intrahepatic biliary calculi and stricture after hepaticojejunostomy can be considered in cases where traditional endoscopic retrograde cholangiopancreatography intervention is too technically difficult.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.