Colangiopancreatografía retrógrada endoscópica en un paciente con gran aneurisma de la aorta abdominal / Endoscopic retrograde cholangiopancreatography in a patient with a large abdominal aortic aneurysm
Rev. cuba. med. mil
;
50(1): e732, 2021. graf
Article
in Spanish
| LILACS, CUMED
| ID: biblio-1289505
RESUMEN
Introducción:
El aneurisma de la aorta abdominal es una enfermedad que cursa, por lo general, de forma asintomática, asociado a una elevada mortalidad cuando se rompe. Se describen factores de riesgo asociados a la historia natural de esta afección. La realización de procederes terapéuticos endoscópicos, como la colangiopancreatografía retrógrada endoscópica ha sido polémica; aunque no se establece como contraindicación, presupone un alto riesgo.Objetivo:
Presentar un paciente con aneurisma de la aorta abdominal, con elevado riesgo quirúrgico para realizar una colangiopancreatografía retrógrada endoscópica. Caso clínico Se presenta un paciente con un gran aneurisma de la aorta abdominal y sospecha clínica de un ampuloma. Se le realizó terapéutica endoscópica mediante la colangiopancreatografía retrógrada endoscópica, con algunas variaciones en el procedimiento. Se logró el drenaje exitoso de la vía biliar principal, sin complicaciones.Conclusiones:
La terapéutica realizada fue una opción, pero con muy alto riesgo(AU)ABSTRACT
Introduction:
The abdominal aortic aneurysm is a disease that usually occurs asymptomatically, associated with high mortality when it ruptures. Risk factors associated with the natural history of this condition are described. The performance of endoscopic therapeutic procedures, such as endoscopic retrograde cholangiopancreatography, has been controversial; although it is not established as a contraindication, it presupposes a high risk.Objective:
To present a patient with an abdominal aortic aneurysm, with high surgical risk to perform an endoscopic retrograde cholangiopancreatography. Clinical case A patient with a large abdominal aortic aneurysm and clinical suspicion of an ampuloma is presented. Endoscopic therapy was performed using endoscopic retrograde cholangiopancreatography, with some variations in the procedure. Successful drainage of the main bile duct was achieved without complications.Conclusions:
The therapy carried out was an option, but with a very high risk(AU)
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Cholangiopancreatography, Endoscopic Retrograde
/
Aortic Aneurysm, Abdominal
Type of study:
Etiology study
/
Risk factors
Limits:
Aged
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. cuba. med. mil
Journal subject:
History of Medicine
/
Military Medicine
Year:
2021
Type:
Article
Affiliation country:
Cuba
Institution/Affiliation country:
Hospital Militar Central Dr. Carlos J. Finlay/CU
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