经皮经肝胆道引流提示巨大肝外胆结石- 1例儿科病例报告。

IF 2.1 3区医学 Q2 PEDIATRICS

Pediatric Radiology Pub Date : 2025-02-01 Epub Date: 2025-01-17 DOI:10.1007/s00247-024-06156-4

Anna-Maria Odenthal, Carsten Meyer, Mark Born, Martin Heimbrodt, Julian Luetkens, Martha Dohna

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引用次数: 0

摘要

胆道狭窄，这是常见的在儿童肝移植后的第一年，诊断和处理经皮经肝胆管造影。在接受经皮经肝胆管造影的儿童中，早期胆管炎是最常见的并发症，而典型的导管相关并发症是梗阻、脱位、扭结或骨折。本病例报告讨论了一名5岁女孩在儿童肝移植后胆道狭窄治疗后偶然发生经皮经肝胆道引流相关的肝外胆结石形成的独特表现和处理。经皮肝穿刺碎石术治疗效果良好。虽然这是一种罕见但潜在有害的并发症，但如果引流术出现阻力，应通过超声或透视检查排除引流尖结石。

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Huge extrahepatic gallstone on percutaneous transhepatic biliary drainage tip-a pediatric case report.

Biliary strictures, which are common in the first year after pediatric liver transplantation, are diagnosed and managed with percutaneous transhepatic cholangiography. In children undergoing percutaneous transhepatic cholangiography, early cholangitis is the most common complication while typical catheter-related complications are obstruction, dislodgement, kinking, or fracture. This case report discusses the unique presentation and management of a 5-year-old girl with an incidental percutaneous transhepatic biliary drainage-associated extrahepatic gallstone formation following treatment of biliary stricture after pediatric liver transplantation. It was effectively treated with percutaneous transhepatic lithotripsy. Although this is a rare but potentially harmful complication, in case of resistance at drainage removal, a drainage-tip stone should be excluded by ultrasound or fluoroscopy.

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来源期刊

Pediatric Radiology 医学-核医学

CiteScore

4.40

自引率

17.40%

发文量

300

审稿时长

3-6 weeks

期刊介绍： Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.