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发布者:鑫达医学翻译 发布时间:2012-11-06阅读:

Admitting diagnosis: Acute cholangitis and calculus of common bile duct

Blood routine was performed after anti-infection and fluid infusion, which indicated significant decrease of platelet. Deterioration of obstructive jaundice was observed together with severe injury of hepatic function. We speculated that the patient may suffer from obstructive suppurative cholangitis. Endoscopic retrograde cholangiopancreatography (ERCP) was performed on May 7, 2012, which indicated acute obstructive suppurative cholangitis and calculus of common bile duct. Magnetic resonance cholangiopancreatography (MRCP) was performed, which demonstrated calculus of common bile duct, calculus of intrahepatic duct, cholangiectasis, and 3 calculi in the right intrahepatic bile ducts. For the surgery, the patient received hepatic left lateral lobectomy, choledocholithotomy, cholangio-jejunal Roux-en-Y anastomosis, and choledochoscopic examination.

Postoperative pathologic report indicated chronic cholangitis combined with calculus of bile duct in the left lateral lobe of liver. Additionally, cholestasis was observed in the peripheral hepatocytes. After surgery, delayed wound healing was reported together with lung infection. Then corresponding treatment was given. Subsequently, the patient was discharged with satisfactory outcome. 


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