关键词: biliary injury biliary obstruction biloma leak portal hypertension transjugular intrahepatic portosystemic shunt

来  源:   DOI:10.7759/cureus.58525   PDF(Pubmed)

Abstract:
The transjugular intrahepatic portosystemic shunt is a rising interventional procedure with multiple indications and high technical success but with risks of biliary injuries, an underreported scenario. We present an 11-year-old patient with biliary injury with a leak, biloma formation, and biliary obstruction caused by the percutaneous procedure. Interventional radiology drainages addressed these complications by resolving the leak and biloma. These biliary complications in percutaneous procedures and their management are rarely reported in the medical literature, making their management not standard. We highlight drainage management and the importance of sharing it to add experience to this clinical scenario and encourage sharing cases with similar diagnoses.
摘要:
经颈静脉肝内门体分流术是一种新兴的介入手术,具有多种适应症和很高的技术成功率,但有胆道损伤的风险。被低估的情况。我们介绍了一名11岁的胆道损伤并伴有渗漏的患者,biloma形成,和经皮手术引起的胆道梗阻。介入放射学引流通过解决泄漏和胆汁瘤来解决这些并发症。这些经皮手术中的胆道并发症及其处理在医学文献中很少报道。使他们的管理不规范。我们强调引流管理以及分享引流管理的重要性,以增加这种临床情况的经验,并鼓励分享具有类似诊断的病例。
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