经内镜逆行胰胆管造影术后并发脾破裂1例报告

王爱民; 焦海涛; 方超然; 李建辉

doi:10.3969/j.issn.1001-5256.2020.06.035

经内镜逆行胰胆管造影术后并发脾破裂1例报告

DOI: 10.3969/j.issn.1001-5256.2020.06.035

1. 承德市中心医院消化内科
2. 承德医学院临床技能教学中心

详细信息

中图分类号: R657.4;R657.62
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出版历程
- 出版日期: 2020-06-20

A case of splenic rupture after endoscopic retrograde cholangiopancreatography

Department of Gastroenterology,Chengde Central Hospital
Clinical skills teaching center,Chengde Medical University

摘要

摘要:
<正>1病例资料患者男性,62岁,主因"持续性上腹部疼痛8 h"于2019年7月31日入承德市中心医院。疼痛部位以剑突下为著,向右背部放散,发病后恶心,呕吐1次,为胃内容物。尿色明显加深,呈深黄色,自述寒颤1次,未测体温。急诊血常规:WBC 11. 7×109/L,Hb 143 g/L,PLT 205×1012/L,NE%80. 5%,肝功能:ALT 169 U/L,AST 136 U/L,GGT 265 U/L,ALP 231 U/L,TBil
- 胰胆管造影术,内窥镜逆行 /
- 胆总管结石 /
- 脾破裂
- cholangiopancreatography,endoscopic retrograde /
- choledocholithiasis /
- splenic rupture

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参考文献(6)

[1] CHEN YP,JIANG YP. A case of duodenal perforation and splenic capsule tear during retrograde cholangiopancreatography[J]. Chin J Clin Gastroenterol,2014,26(4):255-256.(in Chinese)陈友平，江应平．逆行胰胆管造影术中致十二指肠穿孔及脾包膜撕裂一例[J]．临床消化病杂志，2014,26(4):255-256.

[2] Group of Splenic Function and Spleen Surgery,Chinese Society of Surgery,Chinese Medical Association. Expert consensus on treatment methods for spleen injury(2014)[J]. J Clin Hepatol,2015,31(7):1002-1003.(in Chinese)中华医学会外科学分会脾功能与脾脏外科学组．脾脏损伤治疗方式的专家共识(2014版)[J]．临床肝胆病杂志，2015,31(7):1002-1003.

[3] PAMUDURTHY V,ABRAHAM RZ,BETLEJ T,et al. Etiologies and risks of splenic decapsulation after endoscopic retrogradecholangiopancreatography:Case report and literature review[J]. Endosc Int Open,2018,6(3):271-273.

[4] RICHARD L,ALEXANDER H,NIVENSE S,et al. Splenic Injury following endoscopic retrograde cholangiopancreatography:A case report and literature review[J]. Case Rep Gastroenterol,2017,11:241-249.

[5] DIXON E,GRAHAM JS,SUTHERLAND F,et al. Splenic injury following endoscopic retrograde cholangiopancreatography:A case report and review of the literature[J]. JSLS,2004,8(3):275-277.

[6] YUE P,MENG WB,LI X,et al. Rare complications related to endoscopic retrograde cholangiopancreatography and its management[J]. Chin J Pract Surg,2018,38(8):938-941.(in Chinese)岳平，孟文勃，李汛，等．内镜逆行胰胆管造影相关罕见并发症及处理对策[J]．中国实用外科杂志，2018,38(8):938-941.

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