Spontaneous Common Bile Duct Perforation Following Serial Stent Placement Due To Benign Stricture / Benign Striktür Nedeniyle Peşpeşe Stentleme Sonrası Gelişen Spontan Koledok Perforasyonu

Yıl 2017, , 74 - 77, 07.01.2017

Nejdet Fatih Yaşar Bartu Badak , Adnan Şahin Mustafa Başpınar Mustafa Ufuk Uylaş

https://doi.org/10.20515/otd.288161

Öz

Abstract: Spontaneous bile duct perforation is a very rare entity
in adults. In this report, we present a 75-year-old patient with a history of
extraction of bile duct stones and serial stent placement because of chronic pancreatitis
related-benign stricture who underwent surgery due to biliary peritonitis. This
is the first case of common bile duct perforation following removal of biliary
stent. We thought that an elective surgical enterobiliary diversion should have
been performed in this patient after detecting the persistence of the stricture
on ERCP instead of planning future endoscopic procedures.

Keywords: Choledochus,
perforation, stent, stricture, pancreatitis, enterobiliary diversion

Özet: Erişkinlerde
safra yollarının spontan perforasyonu çok nadir ortaya çıkan bir durumdur. Bu
vaka sunumunda, safra yollarından taş çıkarılması ve kronik pankreatite bağlı
gelişen benign striktüre nedeniyle peşpeşe stent takılma öyküsü olan ve safra
peritoniti nedeniyle cerrahiye alınan 75 yaşında bir hasta takdim ettik. Safra
yollarına takılan stentin çıkarılmasını takiben gelişen ilk koledok
perforasyonu vakasıdır. Bu hastada, ERCP'de striktürün devam ettiği görüldükten
sonra başka endoskopik prosedürler planlamak yerine elektif cerrahi
enterobilier diversiyonun uygulanması gerektiğini düşünmekteyiz.

Anahtar Kelimeler: Koledok,
perforasyon, stent,pankreatit,enterobilier diversiyon

Anahtar Kelimeler

Koledok, perforasyon, stent, pankreatit

Kaynakça

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