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Curiozitati la ERCP

In imaginile 1-4 se pot obseva calculi alb-sidefii extrasi din CBP dupa sfincterotomie, la o pacienta care fusese internata pentru pancreatita acuta (ERCP efectuat la o saptamana de la debutul pancreatitei, fara angiocolita sau obstructie biliara persistenta, dupa intrarea in remisiune a pancreatitei).
In celelalte imagini (5-8), se observa o alta imagine rotunda alb-sidefie extrasa din CBP, doar ca este o … vezicula hidatica ! Pacientul, de data asta barbat, fusese internat pentru icter mecanic si la RMN se stabilise dg. de Hidatidoza hepatica cu chist fisurat in caile biliare si colangita hidatica secundara.
Asemanarea este … interesanta ! (mai ales cand cazurile vin in aceeasi zi).
Despre rolul ERCP in hidatidoza cailor bliare (pre- si postoperator) se pot afla mai multe aici: Kemal Dolay, Sami Akbulut. Role of endoscopic retrograde cholangiopancreatography in the management of hepatic hydatid disease. World J Gastroenterol 2014 November 7; 20(41): 15253-15261.
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