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首页> 外文期刊>Journal of hepato-biliary-pancreatic surgery >Choledochal stenosis and lithiasis caused by penetration and migration of surgical metal clips.
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Choledochal stenosis and lithiasis caused by penetration and migration of surgical metal clips.

机译:由手术金属夹的穿透和迁移引起的胆总管狭窄和结石症。

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摘要

A 71-year-old woman, who had undergone laparoscopic cholecystectomy 1 year previously at our hospital, presented with abdominal pain, high fever, and jaundice. She was diagnosed with choledochal stenosis caused by migration of the clips that were used at the previous operation. At reoperation, the common bile duct was successfully dissected, including the stenotic site, where a metal clip was found to be penetrating the duct wall. The stenotic site was sufficiently resected, when a black-brown gallstone was found proximally to the stenosis. Interestingly, the stone was found to contain two metal clips, which were considered to have migrated into the bile duct and to have acted as a nidus for stone formation. The common bile duct was reconstructed by direct end-to-end anastomosis. Surgeons must exercise caution in the use of metal clips, keeping in mind the potential risk of clip migration.
机译:一名71岁的女性,一年前在我们医院接受了腹腔镜胆囊切除术,表现出腹痛,高烧和黄疸。她被诊断出患有胆总管狭窄,原因是先前手术中使用的夹子移位。再次手术时,成功地切开了胆总管,包括狭窄部位,在该部位发现了一个金属夹子穿透导管壁。当在狭窄的近端发现黑褐色的胆结石时,狭窄的部位已被充分切除。有趣的是,发现该石头包含两个金属夹,这些金属夹被认为已迁移到胆管中,并充当了结石的巢穴。通过直接端对端吻合术重建胆总管。外科医生在使用金属夹时必须格外小心,同时要注意夹夹迁移的潜在风险。

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