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Am J Emerg Med ; 48: 374.e5-374.e12, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-33773867

RESUMO

BACKGROUND: Gallstone disease is a burden affecting about 15% percent of the population around the world. The complications of gallstone disease are numerous and many require emergency care. Severe complications are not uncommon and require special attention, as lethal outcome is possible. CASE PRESENTATION: We present a retrospective analysis of eight cases describing severe complications of gallstones in patients undergoing endoscopic treatment of chronic gallstones conditions. All patients were admitted to our emergency care department following symptoms onset. The diagnostic difficulties, treatment strategies and outcomes are presented. The associated risk factors and preventative measures are discussed. Two patients developed profuse bleeding, two developed acute pancreatitis, two patients had perforation related complications. One rare case of bilioma and one case of iatrogenic injury are presented. All patients had severe condition, in two cases lethal outcome was a result of co-morbidity and difficulties in management. CONCLUSION: Special care should be taken in patients with risk factors of severe complications in order to improve outcome and prevent the development of life-threatening conditions.


Assuntos
Colangiopancreatografia Retrógrada Endoscópica , Colecistectomia Laparoscópica , Colelitíase/cirurgia , Complicações Pós-Operatórias/terapia , Esfinterotomia Endoscópica , Adulto , Idoso , Fístula Biliar/fisiopatologia , Fístula Biliar/terapia , Doença Crônica , Ducto Colédoco/lesões , Duodenopatias/fisiopatologia , Duodenopatias/terapia , Serviço Hospitalar de Emergência , Feminino , Cálculos Biliares/cirurgia , Hemorragia Gastrointestinal/fisiopatologia , Hemorragia Gastrointestinal/terapia , Humanos , Doença Iatrogênica , Perfuração Intestinal/fisiopatologia , Perfuração Intestinal/terapia , Masculino , Pessoa de Meia-Idade , Pancreatite/fisiopatologia , Pancreatite/terapia , Veia Porta , Síndrome Pós-Colecistectomia , Complicações Pós-Operatórias/fisiopatologia , Fístula Vascular/fisiopatologia , Fístula Vascular/terapia
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