A Case of Common Bile Duct Stricture due to Traffic Accident Successfully Treated by Endoscopic Biliary Stenting.
スポンサーリンク
概要
- 論文の詳細を見る
A 21-year-old woman with a past history of blunt abdominal trauma due to traffic accident was admztted because of increasing jaundice. US and CT scan revealed obstructive jaundice with a stricture of the common bile duct inthe middle portion. MRI showed a soft tissue mass surrounding a narrowed site of the common bile duct and distorted portal vein in the suprapancreatic portion. ERC revealed a smooth stricture of the comrnon bile duct, 1cm in length, in the middle portio:n. A 7Fr ENBD tube wassuccessfully introduced as the initial treatment. Under the diagnosis of benign traumatic bile duct stricture, ENBD tube was replaced by an 8Fr erldoprosthese(plastic stent). Twenty-six days later an 8Fr stent was exchanged for a 10Fr stent after sphincterotorny and additional balloon dilation of the stricture site. Final exchange for a 12Fr stent vvas done 2 months later. After 3 months'application, this was removed and the following cholangiogram demonstrated resolution of the stricture. On the next day of stent removal serum total bilirubin level slightly elevated because possibly of mucosal edema of the common bile duct caused by final scent extraetlon. Both bzochemically and anatomically, the hepatobiliary system seemed to be well preserved for at least following 6 months. Endoscopic stentmg and dilation method, which is safe and effective, should be considered for the treatment of traumatic biliary strictures.
- 社団法人 日本消化器内視鏡学会の論文
社団法人 日本消化器内視鏡学会 | 論文
- 経皮内視鏡的胃瘻造設術を受けた患者における生存期間と栄養評価の関係
- 内視鏡的バルーン拡張術にて治療しえたPlummer-Vinson症候群の2例
- 糖尿病に合併した急性壊死性食道炎の1例
- 内視鏡的経鼻膵管ドレナージとオクトレオチドが有効であった膵性胸水の1例
- 重症急性膵炎後膵膿瘍に対し超音波内視鏡ガイド下ドレナージ術が有効であった1例