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Perforation due to congenital choledochocyst misdiagnosed as acute appendicitis in a child
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摘要:
<正>1病例资料患儿女性,7岁,1周前出现上腹部胀痛,无发热,1 d前疼痛加重,剧烈,继而波及全腹,以右下腹明显,2014年12月10日就诊于当地医院,考虑"急性阑尾炎",拟行阑尾切除术。术中探查见腹腔内大量胆汁性液体,不除外消化道穿孔,遂上沿切口,共吸出胆汁性液体约500 ml,升结肠系膜、右侧腹膜均呈墨绿色,打开侧腹膜,见胆汁性渗出液及坏死组织,探查胃十二指肠、小肠、结肠见肠壁完整无穿孔。胆囊、肝十二指肠韧带充
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Key words:
- choledochalcyst /
- appendicitis /
- diagnostic errors /
- case reports
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[1]SINGHAM J,YOSHIDA EM,SCUDAMORE CH.Choledochal cysts:part 1 of 3:classification and pathogenesis[J].Can J Surg,2009,52(2):434-440. [2]TUROWSKI C,KNISELY AS,DAVENPORT M.Role of pressure and pancreatic reflux in the aetiology of choledochal malformation[J].Br J Surg,2011,98(9):1319-1326. [3]MABRUT JY,BOZIO G,HUBERT C,et al.Management of congenital bile duct cysts[J].Dig Surg,2010,27(1):12-18. [4]PARAMHANS D,SHUKLA S,GROVER J.Spontaneous perforation of the common bile duct in an adult[J].Indian J Surg,2013,75(Suppl 1):376-378. [5]CAI DF,LI YM,LIN CS,et al.Nursing for children with congenital choledochocyst complicated by biliary tract perforation:an analysis of 7 cases[C]//2013 Academic Annual Conference on Pediatric Surgery and The 30th Anniversary of Society of Pediatric Surgery,Zhejiang Medical Association.Jinhua,2013.(in Chinese)蔡丹凤,李育梅,林持守,等.7例先天性胆总管囊肿合并胆道穿孔患儿的护理[C]//2013年浙江省医学会小儿外科学学术年会暨分会成立30周年庆典论文汇编.金华,2013. [6]SHEN Y,ZHANG L,YAN LB.Experience in diagnosis and treatment of congenital choledochocyst complicated by perforation in infants and children[J].Chin J Pediatric Surg,2012,33(2):150-151.(in Chinese)沈阳,张琳,颜禄斌.12例婴幼儿先天性胆总管囊肿穿孔诊治体会[J].中华小儿外科杂志,2012,33(2):150-151. [7] AHMED I,SHARMA A,GUPTA A,et al.Management of rupture of choledochal cyst[J].Indian J Gastroenterol,2011,30(2):94-96. [8]CHIANG L,CHUI CH,LOW Y,et al.Perforation:a rare complication of choledochal cysts in children[J].Pediatr Surg Int,2011,27(8):823-827. [9] CHEN YJ,ZHANG TC,PENG CH,et al.Congenital choledochocyst complicated by spontaneous perforation in children:a clinical analysis of 71 cases[C].National Academic Conference on Pediatric Surgery,Chinese Medical Association,2010.(in Chinese)陈亚军,张廷冲,彭春辉,等.小儿先天性胆总管囊肿自发性穿孔71例临床分析[C].中华医学会全国小儿外科学术会,2010. [10]ZHANG SH,DENG QQ,FENG L,et al.Laparoscopic diagnosis and treatment of spontaneous biliary tract perforation in children:an analysis of 6 cases[J].The J Pract Med,2011,27(14):2501.(in Chinese)张守华,邓庆强,冯亮,等.腹腔镜诊治小儿自发性胆道穿孔6例分析[J].实用医学杂志,2011,27(14):2501. [11]SINGH H,GUPTA R,DHALIWAL L,et al.Spontaneous choledochal cyst perforation in pregnancy with co-existent chronic pancreatitis[J].BMJ Case Rep,2014,2014.pii:bcr2014207183. -
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