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Th. Role of Endoscopic Retrograde Ch.langiopancreatograph. (ERCP) in th. Management of Intra-Biliary Rupture of Liver h.datid Cysts (IBRh.: Follow-Up of 12 Cases

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Case Reports in Clinical Medicine 2014年第9期3卷 533-543页

作者： Moh.mmad Abdulrah.an Alsh.kh.ni Tah. A. Alkarbuli Naser Abdullah.Moh.mmed Alqazi h.wa A. h.ssein qalandar h. kasnazan Ali h.ssein Ali Kurdistan Center for Gastroenterology & h.patology Asulaimaneyah Iraqi Kurdistan Iraq

Background: Intra-biliary rupture of h.datid cyst [IBRh. is not a rare complication of h.datid disease of th. liver and surgery until recently is th. only definitive treatment. With.th. introduction of ERCP preoperatively or postoperatively th.re was a great reduction in th. operative complications. Th.re were reports in wh.ch.th. ERCP was th. sole treatment of th.s condition. Objective: To evaluate role of ERCP in th. management of cases of IBRh. Design: A retrospective study of 7 cases of IBRh.and prospective study of 5 cases of IBRh.managed by ERCP. Setting: Th. ERCP Unit of Kurditan Center for Gastroenterology & h.patology, Asulaimaneyah.Iraqi, Kurdistan, Iraq. Main Outcome Measurements: Improvement in th. symptoms, obstructive liver functions pattern and ultrasonic findings in th.se patients following ERCP management. Meth.ds: Th.s is a study of 12 cases of IBRh.managed by ERCP in th. Kurdistan Center of Gastroenterology (KCGE) in Asulaimaneyah.Iraq, from 2007-2010. Seven cases of th.se were studied retrospectively from th. available information on th. center computers and on follow-up of th.se patients, wh.le th. oth.r five patients were studied prospectively during th. study period. We collected th. available information: laboratory investigations, trans-abdominal ultrasonograph. (TAUS), computed tomograph. (CT) or magnetic resonance images (wh.n available), before and after ERCP. We depended on th. liver functions, trans-abdominal ultrasound and th. clinical presentation before and after th. ERCP;some patients were contacted via mobile ph.ne for follow-up. Results: Cases were more males th.n females (58% vs 42%);most were from th. ages between 30 - 50 years. Th. clinical presentation was fever, jaundice, itch.ng and righ. h.poch.ndrial pain in most patients. Th. liver function tests were obstructive pattern with.elevated direct bilirubin and alkh.line ph.sph.tes in most patients. Th. trans-abdominal ultrasound revealed dilated common bile duct and single liv

关键词： Intra-Biliary Rupture of h.datid Cyst ERCP Obstructive Jaundice

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