胆囊十二指肠瘘合并胆石性肠梗阻术后瘘管自行闭合1例报告

张立晓; 叶智斌; 董建涛; 韩杰; 孙云; 梁巍; 赵红雨

doi:10.3969/j.issn.1001-5256.2021.08.036

胆囊十二指肠瘘合并胆石性肠梗阻术后瘘管自行闭合1例报告

DOI: 10.3969/j.issn.1001-5256.2021.08.036

1.
河北省人民医院胃肠外科，石家庄 050000
2.
河北医科大学研究生学院，石家庄 050000

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：张立晓负责课题设计，资料分析，撰写论文; 叶智斌、董建涛、韩杰、赵红雨参与收集数据，修改论文; 孙云、梁巍负责拟定写作思路，指导撰写文章并最后定稿。

详细信息

通信作者:
孙云，puwaisike@126.com

中图分类号: R657.42;R574.2
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- 被引次数: 0
出版历程
- 收稿日期: 2020-12-26
- 录用日期: 2021-01-15
- 出版日期: 2021-08-20

Spontaneous fistula closure after surgery for cholecystoduodenal fistula with gallstone ileus: A case report

1.
Department of Gastrointestinal Surgery, Hebei General Hospital, Shijiazhuang 050000, China
2.
Graduate School of Hebei Medical University, Shijiazhuang 050000, China

摘要

- 肠梗阻 /
- 消化系统瘘 /
- 胆结石
- Intestinal Obstruction /
- Digestive System Fistula /
- Cholelithiasis

HTML全文

图 1 6个月前腹部CT

注：胆囊内巨大结石，大小约5 cm×4 cm×3 cm(白色箭头)。

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图 2 入院时腹部CT

注：a，肝内胆管多发扩张积气(白色箭头); b，胆囊区脂肪间隙模糊，胆囊与邻近十二指肠相通(白色箭头); c，小肠内可见一类圆形同心圆混杂高密度影，大小约5 cm×4 cm×3 cm (白色箭头)，近段肠管扩张明显，内充满液性密度影。

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图 3 术中取出的结石

注：巨大棕褐色结石，大小约5 cm×4 cm×3 cm，中间有卡压痕，质硬，易碎，剖面呈多个年轮纹，符合胆色素类结石。

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图 4 术后1年CT消化道造影

注: 瘘管已闭合，十二指肠内有一充盈缺损(白色箭头)(患者右侧卧位)。

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参考文献(14)

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[11]	DOKO M, ZOVAK M, KOPLJAR M, et al. Comparison of surgical treatments of gallstone ileus: Preliminary report[J]. World J Surg, 2003, 27(4): 400-404. DOI: 10.1007/s00268-002-6569-0.
[12]	MAURICIO GU, DAVID EUGENIO HG, ENRIQUE QF. Gallstone ileus of the sigmoid colon caused by cholecystocolonic fistula: A case report[J]. Ann Med Surg (Lond), 2018, 31: 25-28. DOI: 10.1016/j.amsu.2018.06.001.
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