Usefulness of expandable metallic stent for traumatic bile duct stenosis.
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概要
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A case of traumatic bile duct stenosis treated with an expandable metallic stent (EMS) is reported. A 48-year-old man was admitted with hemorrhagic shock caused by hepatic trauma. Several days after emergency surgery to repair of the hepatic laceration, he showed jaundice and leakage of bile on abdominal CT. Thirty days after admission, PTCD was performed to reduce the intrabiliary tract pressure. Two months later, remarkable stenosis was detected at the common bile duct, although the leakage of bile was decreased. We inserted the EMS ("Strecker" stent) through the PTCD to improve common bile duct stenosis. This improved bile flow, and no side effects were recognized during the one-year observation period. Recently, EMS has been used for obstructive jaundice mostly associated with malignant lesion, and many benefits have been reported compared mith usual biliary endoprosthesis. EMS might also be useful for traumatic biliary tract stenosis without operative invasion.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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