• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Symptomatic cholecystolithiasis after laparoscopic cholecystectomy.
【24h】

Symptomatic cholecystolithiasis after laparoscopic cholecystectomy.

机译：腹腔镜胆囊切除术后有症状的胆囊结石症。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A 45-year-old woman was admitted to our hospital complaining of upper abdominal pain. Seven months earlier a laparoscopic cholecystectomy had been carried out and a solitary gallstone removed together with the gallbladder. The patient now suffered from pain of the same character but lower intensity compared to the situation before the operation. At admission there were no abnormal laboratory findings, especially no signs of infection or cholestasis. Ultrasound revealed a stone in a gallbladder-like structure in the right epigastric region. ERCP revealed an inconspicuous cystic duct stump and no pathological findings in the extra- and intrahepatic bile ducts. MRCP and CT showed a cyst-like structure in the gallbladder region containing a concrement. The patient was transferred to the Department of Surgery for exploratory laparotomy, and a residual gallbladder with an infundibular gallstone was removed. The recurrent upper abdominal pain was obviously caused by a gallstone redeveloped after incomplete laparoscopic gallbladder resection. Retrospectively it could not be discerned whether a doubled or a septated gallbladder was the reason for the initial incomplete resection.
机译：一名45岁的妇女因上腹部疼痛入院。七个月前，已进行了腹腔镜胆囊切除术，并与胆囊一起切除了一个孤立的胆结石。与手术前的情况相比，患者现在所遭受的疼痛相同，但强度较低。入院时没有异常实验室检查结果，尤其是没有感染或胆汁淤积的迹象。超声检查发现右上腹区有胆囊样结石。 ERCP显示胆囊管残端不明显，肝外和肝内胆管无病理发现。 MRCP和CT在胆囊区域显示了囊肿样囊样结构。该患者被转移到外科进行探查性剖腹手术，并去除了残留有胆漏性胆结石的胆囊。腹腔镜胆囊切除术不完全导致胆结石重新发展，明显引起复发性上腹痛。回顾性地无法确定胆囊是加倍还是分隔是最初不完全切除的原因。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号