Zuber-Jerger, Ina and Schoelmerich, Juergen and Kullmann, F. (2006) Cholangitis with subphrenic abscess after complicated cholecystectomy due to occluded plastic stents. ZEITSCHRIFT FUR GASTROENTEROLOGIE, 44 (4). pp. 319-322. ISSN 0044-2771,
Full text not available from this repository. (Request a copy)Abstract
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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; liver; bile ducts; abscess |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 17 Feb 2021 12:10 |
| Last Modified: | 17 Feb 2021 12:10 |
| URI: | https://pred.uni-regensburg.de/id/eprint/34770 |
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