Zuber-Jerger, I. ; Schoelmerich, J. ; Kullmann, F.
Alternative Links zum Volltext:DOIPubmedVerlag
| Dokumentenart: | Artikel |
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| Titel eines Journals oder einer Zeitschrift: | Zeitschrift für Gastroenterologie |
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| Verlag: | DEMETER VERLAG GEORG THIEME VERLAG |
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| Ort der Veröffentlichung: | STUTTGART |
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| Band: | 44 |
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| Nummer des Zeitschriftenheftes oder des Kapitels: | 4 |
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| Seitenbereich: | S. 319-322 |
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| Datum: | April 2006 |
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| Institutionen: | Medizin > Lehrstuhl für Innere Medizin I |
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| Identifikationsnummer: | | Wert | Typ |
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| 10.1055/s-2005-858973 | DOI | | 16625460 | PubMed-ID |
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| Stichwörter / Keywords: | ; liver; bile ducts; abscess |
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| Dewey-Dezimal-Klassifikation: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin |
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| Status: | Veröffentlicht |
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| Begutachtet: | Ja, diese Version wurde begutachtet |
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| An der Universität Regensburg entstanden: | Ja |
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| Dokumenten-ID: | 1224 |
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Web of Science
Zusammenfassung
A 62-year-old lady presented with fever and abdominal pain. History revealed cholecystectomy two years ago due to cholecys-tolithiasis, complicated by perforation of the common bile duct, leading to hepaticojejunostomy, jejunocholedochostomy, endoscopic retrograde insertion of two plastic stents and percutaneous drainage of bilioma. The patient was lost to follow-up until she presented two years ...
Zusammenfassung
A 62-year-old lady presented with fever and abdominal pain. History revealed cholecystectomy two years ago due to cholecys-tolithiasis, complicated by perforation of the common bile duct, leading to hepaticojejunostomy, jejunocholedochostomy, endoscopic retrograde insertion of two plastic stents and percutaneous drainage of bilioma. The patient was lost to follow-up until she presented two years later in the emergency room. ERC was performed. Both stents were occluded. After extraction dirty bile popped out. Injection of contrast medium showed stones in the remaining common bile duct and dilatation of the intrahepatic bile ducts and the interposed jejunum. After stone extraction a subphrenic intrahepatic fluid collection became visible when injecting contrast medium in the intrahepatic bile ducts. Pus was aspirated. The abscess was drained with a nasobiliary tube. Antibiotics were given. Temperature and CRP normalized. The nasobiliary tube was removed when the biliary fluid was clear. Recovery was uneventful with complete resolution of symptoms.
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