Traumatic biliary stricture successfully treated by percutaneous transhepatic bile duct dilatation: a case report.
Traumatic biliary stricture successfully treated by percutaneous transhepatic bile duct dilatation: a case report.
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经皮肝穿刺胆管扩张术成功治疗外伤性胆管狭窄：病例报告。
作者：
J. Horiguchi;S. Ohwada;Y. Tanahashi;T. Sawada;T. Ikeya;T. Ogawa;S. Aiba;H. Shiozaki;T. Yokoe;Y. Iino;Y. Morishita
一位24岁的女性在因交通事故造成钝性腹部创伤24天后主诉梗阻性黄疸。内窥镜逆行胆管造影（ERCP）显示胆总管狭窄，长度为15mm，伴有上胆管扩张。经皮肝胆管引流术（PTCD）可减轻黄疸。在经皮经肝胆管镜检查中，将7fr大小的PTCD管换成更大的导管，期望狭窄逐渐扩大。确认狭窄扩张满意后，拔除导管。在16个月后的随访研究中，没有黄疸复发。
A 24 year-old woman complained of obstructive jaundice 24 days after blunt abdominal trauma due to a traffic accident. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a stricture, 15 mm in length, at the common bile duct associated with upper bile duct dilatation. Jaundice was reduced by percutaneous transhepatic cholangio-drainage (PTCD). A 7 Fr-sized PTCD tube was exchanged for a larger-sized catheter for percutaneous transhepatic cholangioscopy expecting gradual dilatation of the stricture. Following the confirmation of satisfactory dilatation of the stricture, the catheter was removed. There was no recurrence of jaundice 16 months later in a follow-up study.