Base de dados : MEDLINE
Pesquisa : Fístula and Biliar [Palavras]
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[PMID]:29390375
[Au] Autor:Yin X; Lei X; Xu C; Yang J; Zhao Y; Li K
[Ad] Endereço:Department of Gastroenterology, Shandong Provincial Rongjun Hospital.
[Ti] Título:Hepatic artery embolization cures the acute pancreatitis associated with a tiny arteriobiliary fistula after TIPS: A case report.
[So] Source:Medicine (Baltimore);96(50):e9267, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Esophageal variceal bleeding caused by portal hypertension is massive and life-threatening to those patients with decompensated liver cirrhosis. A transjugular intrahepatic portosystemic shunt (TIPS) can effectively stop bleeding. But the process of puncture may lead to bile duct injury and even form fistulas between the hepatic artery and bile duct. PATIENT CONCERNS: The case report illustrated a 52-year-old Chinese female patient who underwent TIPS. DIAGNOSES: She suffered from acute upper gastrointestinal hemorrhage and acute pancreatitis because of the bile duct injury after TIPS. INTERVENTIONS: The fistulas between the hepatic artery and bile duct was embolized. OUTCOMES: The acute upper gastrointestinal hemorrhage and acute pancreatitis of the patient were cured. LESSONS: The arteriobiliary fistula should be paid more attention after TIPS while early-stage prevention should be carried out.
[Mh] Termos MeSH primário: Embolização Terapêutica/métodos
Hemobilia/terapia
Artéria Hepática
Pancreatite/terapia
Derivação Portossistêmica Transjugular Intra-Hepática/efeitos adversos
Fístula Vascular/terapia
[Mh] Termos MeSH secundário: Doença Aguda
Feminino
Hemobilia/etiologia
Seres Humanos
Meia-Idade
Pancreatite/etiologia
Fístula Vascular/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009267


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[PMID]:28744748
[Au] Autor:Azzam AZ; Tanaka K
[Ad] Endereço:General Surgery Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt. aazzam70@yahoo.com.
[Ti] Título:Biliary complications after living donor liver transplantation: A retrospective analysis of the Kyoto experience 1999-2004.
[So] Source:Indian J Gastroenterol;36(4):296-304, 2017 Jul.
[Is] ISSN:0975-0711
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIM: In living donor liver transplantation (LDLT), biliary complications continue to be the most frequent cause of morbidity and may contribute to mortality of recipients although there are advances in surgical techniques. This study will evaluate retrospectively the short-term and long-term management of biliary complications. METHODS: During the period from May 1999, to May 2004, 505 patients underwent 518 LDLT in the Department of Liver Transplantation and Immunology, Kyoto University Hospital, Japan. The data was collected and analyzed retrospectively. RESULTS: The recipients were 261 males (50.4%) and 257 females (49.6%). Biliary complications were reported in 202/518 patients (39.0%), included; biliary leakage in 79/518 (15.4%) patients, leakage followed by biloma in 13/518 (2.5%) patients, leakage followed by stricture in 9/518 (1.8%) patients, and biliary strictures in 101/518 (19.3%) patients. Proper management of the biliary complications resulted in a significant (p value 0.002) success rate of 96.5% compared to the failure rate which was 3.5%. CONCLUSION: Careful preoperative evaluation and the proper intraoperative techniques in biliary reconstruction decrease biliary complications. Early diagnosis and proper management of biliary complications can decrease their effect on both the patient and the graft survival over the long period of follow up.
[Mh] Termos MeSH primário: Fístula Anastomótica/epidemiologia
Doenças Biliares/epidemiologia
Sistema Biliar/patologia
Transplante de Fígado
Doadores Vivos
Complicações Pós-Operatórias/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fístula Anastomótica/prevenção & controle
Doenças Biliares/mortalidade
Doenças Biliares/patologia
Doenças Biliares/prevenção & controle
Procedimentos Cirúrgicos do Sistema Biliar/métodos
Criança
Pré-Escolar
Constrição Patológica
Feminino
Sobrevivência de Enxerto
Seres Humanos
Japão
Transplante de Fígado/mortalidade
Masculino
Meia-Idade
Complicações Pós-Operatórias/mortalidade
Complicações Pós-Operatórias/prevenção & controle
Procedimentos Cirúrgicos Reconstrutivos/métodos
Estudos Retrospectivos
Taxa de Sobrevida
Fatores de Tempo
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1007/s12664-017-0771-3


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[PMID]:29428419
[Au] Autor:Loreto-Brand M; Fernández-Pérez A; Varela-Ponte R; Varo-Pérez E
[Ad] Endereço:Unidad de Trasplante Abdominal, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España. Electronic address: m3lbita@hotmail.com.
[Ti] Título:Resolution of giant biliary collection by spontaneous colon fistulization.
[Ti] Título:Resolución de colección biliar gigante por fistulización espontánea al colon..
[So] Source:Radiologia;, 2018 Feb 07.
[Is] ISSN:1578-178X
[Cp] País de publicação:Spain
[La] Idioma:eng; spa
[Ab] Resumo:The treatment of bile collections is divided into: expectant attitude with radiological monitoring of the size and characteristics of the collection, percutaneous drainage guided by imaging tests (US/CT), endoscopic drainage depending on location and accessibility and surgical treatment. The clinical case of a man undergoing a scheduled hepatectomy was observerd, who presented a large asymptomatic subcapsular collection suggestive of bilioma, with progressive increase in size, spontaneously presenting a decrease until its resolution by fistulization to the hepatic angle of the colon confirmed by Radiological findings. The spontaneously formation of biliary fistulas to the colon is due to the extrinsic pressure of the collection on the intestinal wall with necrosis of the contact zone, being its presentation and radiological documentation exceptional.
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180211
[Lr] Data última revisão:
180211
[St] Status:Publisher


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[PMID]:28904712
[Au] Autor:Mazine K; Barsotti P; Elbouhaddouti H; Taleb KA
[Ad] Endereço:Service de Chirurgie Viscérale A (C3), CHU Hassan II Fès, Maroc.
[Ti] Título:[Colonic gallstone ileus: a rare cause of colonic obstruction].
[Ti] Título:Iléus biliaire colique: une cause rare d'occlusion colique..
[So] Source:Pan Afr Med J;27:187, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Bile ileus with migration of the gallstone into the colon through cholecystocolonic fistula is rare. The diagnosis is difficult and often late. We here report the case of a 89-year old patient with a history of sigmoid diverticular disease presenting with colonic obstruction associated with bile ileus caused by migration of a large gallstone through cholecystocolonic fistula. Abdominal CT scan allowed the diagnosis. The patient underwent surgical extraction of the gallstone with sigmoidotomy followed by sigmoidostomy with subsequent recovery of the digestive continuity. The cholecystocolonic fistula wasn't identified.
[Mh] Termos MeSH primário: Cálculos Biliares/diagnóstico por imagem
Íleus/diagnóstico por imagem
Obstrução Intestinal/diagnóstico por imagem
Doenças do Colo Sigmoide/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Feminino
Cálculos Biliares/complicações
Cálculos Biliares/cirurgia
Seres Humanos
Íleus/complicações
Fístula Intestinal/diagnóstico por imagem
Obstrução Intestinal/etiologia
Obstrução Intestinal/cirurgia
Doenças do Colo Sigmoide/etiologia
Doenças do Colo Sigmoide/cirurgia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.187.12238


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[PMID]:28819467
[Au] Autor:Bellamlih H; Bouimetarhan L; En-Nouali H; Amil T; Chouaib N; Jidane S; Rafai M; Belkouch A; Belyamani L
[Ad] Endereço:¹Service d'imagerie médicale, Hôpital Militaire Mohamed V, Faculté de médecine et de pharmacie, Rabat, Maroc.
[Ti] Título:[Mirizzi's syndrome: a rare cause of biliary tract obstruction: about a case and review of the literature].
[Ti] Título:Le syndrome de Mirizzi: une cause rare de l'obstruction des voies biliaires: à propos d'un cas et revue de littérature..
[So] Source:Pan Afr Med J;27:45, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Mirizzi's syndrome is a rare complication of chronic vesicular lithiasis with prevalence ranging from 0.7% to 1.4% among patients who have undergone cholecystectomy. It is characterized by cholestatic icterus associated with compression of the common bile duct due to lodged calculus in the vesicular neck or in the cystic duct. The disease can evolve toward the erosion through the common hepatic duct wall and, therefore, it can cause the formation of a gallbladder-biliary fistula. We here report a case of Mirizzi's syndrome type I in order to highlight the role of preoperative diagnosis which is made easier by endoscopic retrograde cholangiography or by cholangio-MRI, allowing to avoid iatrogenic bile duct injuries. We conducted a review of the available literature on various aspects of this syndrome, including its pathogenesis, diagnosis and management.
[Mh] Termos MeSH primário: Colestase/diagnóstico
Ducto Colédoco/patologia
Síndrome de Mirizzi/diagnóstico
[Mh] Termos MeSH secundário: Colangiopancreatografia Retrógrada Endoscópica/métodos
Colestase/patologia
Feminino
Seres Humanos
Imagem por Ressonância Magnética/métodos
Meia-Idade
Síndrome de Mirizzi/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.45.12469


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[PMID]:28780610
[Au] Autor:Mutignani M; Dokas S; Tringali A; Forti E; Pugliese F; Cintolo M; Manta R; Dioscoridi L
[Ad] Endereço:Digestive and Interventional Endoscopy Unit, Ospedale Ca'Granda Niguarda, Piazza dell'Ospedale Maggiore, 3, 20162, Milan, Italy.
[Ti] Título:Pancreatic Leaks and Fistulae: An Endoscopy-Oriented Classification.
[So] Source:Dig Dis Sci;62(10):2648-2657, 2017 Oct.
[Is] ISSN:1573-2568
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pancreatic leaks occur as a complication of upper gastrointestinal surgery, acute pancreatitis, or abdominal trauma. Pancreatic fistulas and leaks are primarily managed conservatively. Overall, conservative measures are successful in more than half of cases. Whenever conservative treatment is not efficient, surgery is usually considered the treatment of choice. Nowadays however, endoscopic treatment is being increasingly considered and employed in many cases, as a surgery sparing intervention. AIM: To introduce a classification of pancreatic fistulas according to the location of the leak and ductal anatomy and finally propose the best suited endoscopic method to treat the leak according to current literature. METHODS: We performed an extensive review of the literature on pancreatic fistulae and leaks. RESULTS: In this paper, we review the various types of leaks and propose a novel endoscopic classification of pancreatic fistulas in order to standardize and improve endoscopic treatment. CONCLUSIONS: A proper and precise diagnosis should be made before embarking on endoscopic treatment for pancreatic leaks in order to obtain prime therapeutic results. A multidisciplinary team of interventional endoscopists, pancreatic surgeons, and interventional radiologists is best suited to care for these patients.
[Mh] Termos MeSH primário: Traumatismos Abdominais/complicações
Fístula Anastomótica/terapia
Colangiopancreatografia Retrógrada Endoscópica
Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos
Drenagem/métodos
Fístula Pancreática/terapia
Pancreatite/complicações
Esfinterotomia Endoscópica
[Mh] Termos MeSH secundário: Doença Aguda
Fístula Anastomótica/classificação
Fístula Anastomótica/diagnóstico
Fístula Anastomótica/etiologia
Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos
Colangiopancreatografia Retrógrada Endoscópica/instrumentação
Drenagem/efeitos adversos
Drenagem/instrumentação
Seres Humanos
Fístula Pancreática/classificação
Fístula Pancreática/diagnóstico
Fístula Pancreática/etiologia
Valor Preditivo dos Testes
Esfinterotomia Endoscópica/efeitos adversos
Stents
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170807
[St] Status:MEDLINE
[do] DOI:10.1007/s10620-017-4697-5


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[PMID]:28648977
[Au] Autor:Kwon J; Kim K; Chie EK; Kim BH; Jang JY; Kim SW; Oh DY; Bang YJ
[Ad] Endereço:Department of Radiation Oncology, Seoul National University College of Medicine, Daehak-ro 101, Jongno-gu, Seoul, South Korea; Department of Radiation Oncology, Chungnam National University Hospital, Munhwaro 282, Jungku, Daejeon, South Korea.
[Ti] Título:Prognostic relevance of lymph node status for patients with ampullary adenocarcinoma after radical resection followed by adjuvant treatment.
[So] Source:Eur J Surg Oncol;43(9):1690-1696, 2017 Sep.
[Is] ISSN:1532-2157
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Attempts have been made to revise the nodal stage due to simplicity of current N staging system in ampullary adenocarcinoma. However, because of the disease rarity, there have only been a few studies assessing the prognostic impact of lymph node (LN) parameters. METHODS: We retrospectively analyzed 120 patients who underwent radical resection followed by adjuvant chemoradiotherapy for ampullary adenocarcinoma. The effect of LN parameters (number of total harvest LNs, number of metastatic LN (MLN), lymph node ratio (LNR), and log odds of positive LNs (LODDS)) on overall survival (OS), locoregional relapse-free survival (LRFS) and distant metastasis-free survival were evaluated. Cutoff points of MLN, LNR and LODDs were determined using maximal χ method. RESULTS: Fifty-seven patients (48%) were staged as pN1 and their survival was not significantly decreased compared with pN0 patients. There was also no significant difference between patients with MLN 0 vs. 1. In univariate analyses, MLN (0-1 vs. ≥2), LNR (≤17% vs. >17%) and perineural invasion were common prognosticators for OS and LRFS. Distant metastasis-free survival was not influenced by LN status. In addition, multivariate analysis revealed that among the LN parameters, LNR was able to independently predict both OS and LRFS. CONCLUSIONS: LNR performs better than other LN related parameters for predicting survival. After radical resection followed by adjuvant treatment, survival of patients with one positive LN does not seem to differ from patients without LN metastasis.
[Mh] Termos MeSH primário: Adenocarcinoma/secundário
Adenocarcinoma/cirurgia
Ampola Hepatopancreática
Neoplasias do Ducto Colédoco/patologia
Neoplasias do Ducto Colédoco/cirurgia
Excisão de Linfonodo
Linfonodos/patologia
[Mh] Termos MeSH secundário: Adenocarcinoma/tratamento farmacológico
Adulto
Idoso
Fístula Anastomótica/etiologia
Quimiorradioterapia Adjuvante/efeitos adversos
Neoplasias do Ducto Colédoco/tratamento farmacológico
Intervalo Livre de Doença
Feminino
Seres Humanos
Linfonodos/cirurgia
Metástase Linfática
Masculino
Meia-Idade
Invasividade Neoplásica
Estadiamento de Neoplasias
Nervos Periféricos/patologia
Prognóstico
Estudos Retrospectivos
Taxa de Sobrevida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE


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[PMID]:28601317
[Au] Autor:Maddah G; Rajabi Mashhadi MT; Parvizi Mashhadi M; Nooghabi MJ; Hassanpour M; Abdollahi A
[Ad] Endereço:Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
[Ti] Título:Iatrogenic injuries of the extrahepatic biliary system.
[So] Source:J Surg Res;213:215-221, 2017 Jun 01.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Iatrogenic traumatic extrahepatic biliary tract injuries though rarely occur; they can lead to exceedingly morbid complications. The aim of this study was to evaluate the management strategies and outcomes of patients presented with iatrogenic bile duct injuries. METHODS: This is a retrospective study. Over 19 y, 124 patients were managed for iatrogenic biliary injuries at our institution. The data related to the etiology of biliary tract injury, symptoms of injury, laboratory and radiologic studies, injury-to-diagnosis time, type of biliary tract injury, injury management, hospitalization time, and postoperative complications were reviewed. RESULTS: The main clinical presentations were jaundice or recurrent cholangitis in 64 (51.61%) patients, followed by bile peritonitis in 34 (56.67%) and biliary fistula in 26 (43.33%) patients. Only in 23 (18.54%) cases, the injury was recognized intraoperatively. The most frequent surgical procedure was open cholecystectomy in 81 (65.32%) of 124 patients. The remaining patients were operated on laparoscopically. Good results were achieved in 99 of 101 patients with direct suture repair including hepaticojejunostomy, choledocoduodenostomy, and choledochocholedochostomy (98.02% success rate) at the first attempt. Three cases (2.97%) of biliary strictures after direct suture technique and four (3.96%) cases of postoperative mortalities were detected. The mortality rate was mostly affected by male gender, advanced age, and existence of bile peritonitis. Totally, 111 (89.52%) patients are still alive with a mean follow-up time of 78 ± 38 (2-230) mo. CONCLUSIONS: Biliary injuries can be sometimes life-threatening complications. A successful repair may provide patients with a lifelong relief from symptoms, whereas a failed repair may result in recurrent biliary obstruction, reoperation, and even death.
[Mh] Termos MeSH primário: Ductos Biliares Extra-Hepáticos/lesões
Colecistectomia/efeitos adversos
Complicações Intraoperatórias
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Complicações Intraoperatórias/diagnóstico
Complicações Intraoperatórias/etiologia
Complicações Intraoperatórias/mortalidade
Complicações Intraoperatórias/terapia
Masculino
Meia-Idade
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/etiologia
Complicações Pós-Operatórias/mortalidade
Complicações Pós-Operatórias/terapia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170612
[St] Status:MEDLINE


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[PMID]:28527479
[Au] Autor:Carmelino J; Rodrigues S; Marques HP; Ribeiro V; Virella D; Alves M; Martins A; Barroso E
[Ad] Endereço:Serviço de Cirurgia Geral. Hospital de Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
[Ti] Título:[Biliary Anastomosis in Liver Transplantation: With or Without T-Tube?]
[Ti] Título:Anastomose Biliar no Transplante Hepático: Com ou Sem Tubo em T?.
[So] Source:Acta Med Port;30(2):122-126, 2017 Feb 27.
[Is] ISSN:1646-0758
[Cp] País de publicação:Portugal
[La] Idioma:por
[Ab] Resumo:INTRODUCTION: Biliary complications occur in 10-30% of liver transplants. The aim of this study was to compare the incidence of these complications in liver transplants when the T-tube was or was not used during the biliary anastomosis. MATERIAL AND METHODS: Analysis of 2 groups of patients undergoing liver transplantation between 2008 and 2012. Patients were divided considering if the T-tube was used (G1) or if it was not (G2). We sought explanatory models of the occurrence of biliary complications by logistic regression, including the variables identified in the univariate analysis. RESULTS: We reviewed 506 consecutive patients who underwent a first liver transplant (G1 = 363, G2 = 143). The overall incidence of biliary complications was 24.7% (95% CI 21.1 to 28.6): 27.0% in G1 and 18.9% in G2 (p = 0.057). The incidences of stenosis and biliary fistula tended to be higher in G1: 19.6% (95% CI 15.7 to 23.8) vs 15.4% (95% CI 10.1 to 22.0) (p = 0.275) and 6.6% (95% CI 4.4 to 9.5) vs 2.8% (95% CI 0.9 to 6.6) (p = 0.091). We did not find statistically significant differences in the rates of endoscopic retrograde cholangiopancreatography, reoperation and retransplantation. There were two deaths in G1. There was no association between the occurrence of biliary complications and the diameters of the biliary tract nor the time of cold ischemia. The explanatory model, adjusted to the recipient and the donor age's and to the initial diagnosis, identifies the use of the T-tube as increasing the possibility of the occurrence of biliary complications (AdjOR 1.71, 95% CI 1.04 to 2.80; p = 0.034). DISCUSSION AND CONCLUSION: The use of the T-tube should be a decision taken on a case-based intraoperative judgment of experienced surgeons.
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170521
[Lr] Data última revisão:
170521
[St] Status:In-Process
[do] DOI:10.20344/amp.7287


  10 / 4971 MEDLINE  
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[PMID]:28495458
[Au] Autor:Baleato-González S; Vieira-Leite C; Alvárez-Castro AM; García-Figueiras R
[Ad] Endereço:Servicio de Radiodiagnóstico, Hospital Clínico Universitario Santiago de Compostela, Santiago de Compostela (A Coruña), España.
[Ti] Título:Demonstration of a bronchobiliary fistula using magnetic resonance image with hepatospecific contrast agent.
[Ti] Título:Demostración de fístula biliobronquial mediante resonancia magnética con contraste hepatoespecífico..
[So] Source:Radiologia;59(6):540-543, 2017 Nov - Dec.
[Is] ISSN:1578-178X
[Cp] País de publicação:Spain
[La] Idioma:eng; spa
[Ab] Resumo:Bronchobiliary fistulas are a rare entity of difficult diagnosis. The utility of magnetic resonance image (MRI) with hepatospecific contrast agents to demonstrate such condition is seldom described in the literature. This case reports a patient with pulmonary infection with a past history of hepatic surgery for hydatid disease in whom the presence of bile in the sputum rose the suspicious of a bronchobiliary fistula. MRI with hepatospecific contrast agents showed the communication between the biliary and bronchial tree and provided anatomic data to allow a therapeutic approach.
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171115
[Lr] Data última revisão:
171115
[St] Status:In-Process



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