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首页> 外文期刊>Surgical Endoscopy >Pyogenic cholangitis after inadvertent submucosal contrast injection in the papilla of Vater in a patient with cholestatic hepatitis.
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Pyogenic cholangitis after inadvertent submucosal contrast injection in the papilla of Vater in a patient with cholestatic hepatitis.

机译:胆汁淤积性肝炎患者不慎在Vater乳头中注射粘膜下造影剂后发生化脓性胆管炎。

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摘要

Common bile duct stones and tumors constitute the leading cause of acute biliary tract obstruction and cholangitis. Septic complications after diagnostic endoscopic retrograde cholangiopancreatography (ERCP) are very unusual in unobstructed bile ducts. There are only three reported cases of patients without evidence of biliary tract disease who developed cholangitis and liver abscesses due to Pseudomonas aeruginosa. Biliary endoscopists believe that the inadvertent submucosal injection of contrast into the papilla of Vater is an innocent accident that has no serious consequences other than increasing the percentage of unsuccessful catheterizations of the common bile duct. Herein we describe a patient with drug-induced cholestatic hepatitis who developed pyogenic cholangitis after the inadvertent injection of submucosal contrast in the papilla of Vater.
机译:胆总管结石和肿瘤是急性胆道梗阻和胆管炎的主要原因。诊断性内窥镜逆行胰胆管造影(ERCP)后的脓毒症并发症在无阻塞胆管中非常罕见。仅有三例报告的无胆道疾病证据的患者由于铜绿假单胞菌而发展为胆管炎和肝脓肿。胆汁镜检查医师认为,无意识地将造影剂黏膜下注射至Vater的乳头是无辜的事故,除了增加胆总管导管插入失败的百分比外,没有其他严重后果。本文中,我们描述了因药物引起的胆汁淤积性肝炎患者,在无意中向Vater的乳头内注射粘膜下造影剂后发生化脓性胆管炎。

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