In this case report we present an elderly patient who was referred to our hospital with recurrent episodes of cholangitis that persisted after placement of fi ve metal stents for a distal common bile duct(CBD) stenosi...In this case report we present an elderly patient who was referred to our hospital with recurrent episodes of cholangitis that persisted after placement of fi ve metal stents for a distal common bile duct(CBD) stenosis.All metal stents were endoscopically removed from the CBD by forceps after balloon dilatation of the papilla.A profoundly dilated CBD with sludge and concrements was seen.To ensure adequate bile drainage an enteral metal stent was inserted in the CBD.This case shows that proximally migrated uncovered metal stents in the CBD can be safely removed endoscopically under certain circumstances.We suggest that in the case of a CBD drainage problem due to an extremely dilated CBD,placement of an enteral metal stent in the CBD could be considered,especially in patients who are unfi t for surgery.展开更多
Bronchobiliary fistula（BBF）is a rare condition in which there is a nonnatural communication between the biliary tract and the bronchial trees.It is usually aroused by the complications of hepatic hydatidosis,hepatic...Bronchobiliary fistula（BBF）is a rare condition in which there is a nonnatural communication between the biliary tract and the bronchial trees.It is usually aroused by the complications of hepatic hydatidosis,hepatic amebic,biliary obstruction,trauma,neoplasm and hepatic abscess formation.In this paper,we described a patient suffering from BBF that is secondary to trauma or surgery.Especially,BBF was detected in the left lung.Finally,we managed this case successfully without an open surgery.展开更多
文摘In this case report we present an elderly patient who was referred to our hospital with recurrent episodes of cholangitis that persisted after placement of fi ve metal stents for a distal common bile duct(CBD) stenosis.All metal stents were endoscopically removed from the CBD by forceps after balloon dilatation of the papilla.A profoundly dilated CBD with sludge and concrements was seen.To ensure adequate bile drainage an enteral metal stent was inserted in the CBD.This case shows that proximally migrated uncovered metal stents in the CBD can be safely removed endoscopically under certain circumstances.We suggest that in the case of a CBD drainage problem due to an extremely dilated CBD,placement of an enteral metal stent in the CBD could be considered,especially in patients who are unfi t for surgery.
文摘Bronchobiliary fistula（BBF）is a rare condition in which there is a nonnatural communication between the biliary tract and the bronchial trees.It is usually aroused by the complications of hepatic hydatidosis,hepatic amebic,biliary obstruction,trauma,neoplasm and hepatic abscess formation.In this paper,we described a patient suffering from BBF that is secondary to trauma or surgery.Especially,BBF was detected in the left lung.Finally,we managed this case successfully without an open surgery.
