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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 288 - 292 (5page)
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초록· 키워드
오류제보하기
Early removal of a percutaneous transhepatic biliary drainage (PTBD) tube commonly causes pneumoperitoneum. However, weencountered a patient who developed pneumoperitoneum even with an indwelling PTBD tube. An 84-year-old man was admittedwith type III combined duodenal and biliary obstruction secondary to metastatic bladder cancer. A biliary stent was placed using apercutaneous approach, and a duodenal stent was placed endoscopically. A large amount of subphrenic free air was detected afterthe procedures. Laboratory tests indicated intestinal perforation; however, peritoneal signs were absent. The patient was treatedconservatively using an indwelling Levin tube. Seven days later, the massive amount of subphrenic free air disappeared. Follow-uptubography revealed unrestricted bile flow into the small intestine, and the PTBD tube was removed. Prolonged endoscopic proceduresin patients with a PTBD tract communicating with the gastrointestinal tract can precipitate pneumoperitoneum. Clinicians should becareful to avoid misdiagnosing this condition as intestinal perforation.
목차
등록된 정보가 없습니다.
참고문헌 (8)
참고문헌 신청
Lee JH / 2000 / Pneumoperitoneum caused by transhepatic air leak after metallic biliary stent placement / Cardiovasc Intervent Radiol 23:482~484
Amonkar SJ / 2008 / Pneumoperitoneum following percutaneous biliary intervention : not necessarily a cause for alarm / Cardiovasc Intervent Radiol 31:439~443
Hui YT / 2008 / Benign pneumoperitoneum developed after endoscopic biliary metallic stent placement with the rendezvous procedure / Gastrointest Endosc 67:179~180
Chuang CH / 2008 / Pneumoperitoneum caused by air leakage through the percutaneous puncture tract as a complication of rendezvous technique : a case report / Kaohsiung J Med Sci 24:614~617
Virgilio E / 2015 / Conservative management of pneumoperitonitis after percutaneous transhepatic insertion of metallic biliary stents / Am Surg 81:E418~E419
Amonkar SJ / 2008 / Pneumoperitoneum following percutaneous biliary intervention : not necessarily a cause for alarm / Cardiovasc Intervent Radiol 31:439~443
Hui YT / 2008 / Benign pneumoperitoneum developed after endoscopic biliary metallic stent placement with the rendezvous procedure / Gastrointest Endosc 67:179~180
Chuang CH / 2008 / Pneumoperitoneum caused by air leakage through the percutaneous puncture tract as a complication of rendezvous technique : a case report / Kaohsiung J Med Sci 24:614~617
Virgilio E / 2015 / Conservative management of pneumoperitonitis after percutaneous transhepatic insertion of metallic biliary stents / Am Surg 81:E418~E419
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