胆道树内异物1例及嗜酸性细胞增多症的挑战

IF 0.9 Q4 GASTROENTEROLOGY & HEPATOLOGY Gastrointestinal disorders (Basel, Switzerland) Pub Date : 2023-10-01 DOI:10.3390/gidisord5040035
Emanuele Sinagra, Francesco Vito Mandarino, Francesca Rossi, Rita Alloro, Sergio Testai, Marta Marasà, Serena Cristofalo, Marcello Maida, Daniele Brinch, Giuseppe Conoscenti, Ernesto Fasulo, Dario Raimondo
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引用次数: 0

摘要

在所有报告的胆道异物迁移或嵌顿的病例中,在实验室检查结果中没有提到嗜酸性细胞增多症的存在。这可能是由于异物撞击引起的局部组织反应。在这里,我们介绍了我们的经验,从手术牵开器中取出螺钉,该螺钉卡在胆总管(CBD)中并移动,该患者先前因肝包囊病接受了左侧肝切除术。成像不足以做出诊断,在这种情况下嗜酸性细胞增多症的解释可能会带来挑战。
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A Case of Foreign Body in the Biliary Tree and the Challenge of Hypereosinophilia
In all reported cases of foreign body migration or impaction in the biliary tree, there is no mention of the presence of hypereosinophilia among the laboratory findings. This could possibly be attributed to the local tissue reaction caused by the impacted foreign body. Here, we present our experience with the removal of a screw from a surgical retractor that became lodged in the common bile duct (CBD) and migrated in a patient who had previously undergone a left lateral hepatectomy for hepatic hydatidosis. The imaging was not sufficient to make a diagnosis, and the interpretation of hypereosinophilia in such a case could pose a challenge.
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10 weeks
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