Tratamiento endoscópico ambulatorio en un paciente con coledocolitiasis de gran tamaño / Outpatient endoscopic treatment in a patient with choledocholithiasis of great size
Medisan
;
16(12): 1925-1929, dic. 2012.
Article
in Spanish
| LILACS
| ID: lil-662277
RESUMEN
Se presenta el caso clínico de un anciano de 75 años de edad, operado desde hacía 18 meses por presentar colelitiasis sintomática, quien acudió al cuerpo de guardia del Hospital General Docente Dr Juan Bruno Zayas Alfonso de Santiago de Cuba con dolor en hipocondrio derecho de tipo cólico biliar, intenso y con aparición posprandial tardía, acompañado de náuseas, vómitos, íctero verdínico, coluria, hipocolia e inapetencia. Los exámenes complementarios efectuados confirmaron el diagnóstico de coledocolitiasis de gran tamaño, por lo cual se le realizó colangiopancreatografía retrógrada endoscópica, esfinterotomía endoscópica y litotricia mecánica dentro del lumen coledociano. Se extrajeron con éxito todos los fragmentos resultantes del cálculo y la evolución posoperatoria resultó favorable. El paciente egresó antes de las 24 horas de haber sido intervenido, fue reevaluado a los 5 días y se le dio el alta definitiva, totalmente asintomático
ABSTRACT
The case report of a 75 year-old man, surgically treated for 18 months due to a symptomatic cholelithiasis who attended the emergency room from Dr Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, with pain in the right hypochondrium of intense biliary-colic type and with late postprandial occurrence, accompanied by nauseas, vomits, green jaundice, brown urine, hipocolia and inappetence is presented. Additional tests confirmed the diagnosis of choledocholithiasis of a great size, reason why he was surgically treated with endoscopic retrograde cholangiopancreatography, endoscopic sphincterotomy and mechanical lithotripsy inside the choledochal lumen. All the resulting fragments of the stones were successfully extracted and the postoperative clinical course was favorable. The patient was discharged before the 24 hours of the surgery, he was re-examined after 5 days and he was definitively discharged completely asymptomatic
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Cholangiopancreatography, Endoscopic Retrograde
/
Sphincterotomy, Endoscopic
/
Choledocholithiasis
Limits:
Aged
Language:
Spanish
Journal:
Medisan
Journal subject:
Medicine
Year:
2012
Type:
Article
Affiliation country:
Cuba
Institution/Affiliation country:
Hospital General Docente Dr Juan Bruno Zayas Alfonso/CU
/
Policlínico Integral Comunitario Josué País García/CU
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