NOVEL-APPROACH TO IATROGENIC BILE PERITONITIS

被引：0

作者：

MCANENY, DB ^{[1
]}

GIBRAN, NS ^{[1
]}

BRAASCH, JW ^{[1
]}

机构：

[1] LAHEY CLIN MED CTR,DEPT GEN SURG,41 MALL RD,BURLINGTON,MA 01805

来源：

SURGERY | 1991年 / 109卷 / 06期

关键词：

D O I：

暂无

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Bile peritonitis after injury to the biliary tree is a serious complication that requires exploratory laparotomy. Our patient had an obstructing ampullary carcinoma, and generalized bile peritonitis developed from attempted percultaneous transhepatic cholangiography. The patient's condition was managed by peritoneal lavage and endoscopic transampullary stenting, with immediate relief of pain and toxicity. Exploratory laparotomy was avoided, and an eventual pylorus-sparing Whipple resection was the definitive treatment. We believe this to be the first report of successful nonoperative treatment of a patient with bile peritonitis with obstructive jaundice.

引用

页码：796 / 798

页数：3

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