| 摘要: |
| 异物通常是由于患者误食、外伤、意外等引起，残留于人体当中的非正常组织；而医源性异物通常是由于医务人员在临床工作中的不可抗拒的某些因素造成的，这些异物通常都会对患者导致各种不良反应或损害。超声检查联合CT扫描是目前确诊消化道腔内外异物及并发症类型的首选方法。本案例为患者于外院行胆肠吻合术后多年，因近期自觉腹部不适，遂来我院门诊就诊，门诊医生以“肝内胆管结石收入院”，并在我院行手术治疗，在手术过程中行术中超声检查发现肝门部胆肠吻合口区线状高回声，考虑异物，且定位，遂术中取出，避免了远期造成相关并发症的风险。现将我院术中发现胆肠吻合口处类金属异物1例声像图特征报告如下。 |
| 关键词: 异物 影像 术中超声 |
| DOI： |
| 投稿时间：2023-02-15修订日期：2023-02-21 |
| 基金项目: |
|
| Intraoperative ultrasound diagnosis of foreign body after cholangiojejunostomy：a case report |
| zhang ting,Zhong Xiaofei |
| (West China Hospital，Sichuan University) |
| Abstract: |
| The foreign body is usually caused by the patient's ingestion, trauma, accident, etc., and remains in the abnormal tissues of the human body; However, iatrogenic foreign bodies are usually caused by some irresistible factors of medical staff in clinical work, and these foreign bodies usually cause various adverse reactions or damages to patients. Ultrasound combined with CT scan is the first choice for the diagnosis of foreign bodies and complications in the digestive tract. This case is a patient who has undergone choledochojejunostomy in an external hospital for many years. Due to his recent abdominal discomfort, he came to our outpatient clinic for treatment. The outpatient doctor received the "intrahepatic bile duct stone" and performed surgery in our hospital. During the operation, the ultrasound examination found that the linear high echo in the area of the hilar choledochojejunostomy was considered, and the foreign body was located. The patient was removed during the operation, avoiding the risk of long-term complications. The sonographic features of one case of metal-like foreign body found at the choledochojejunostomy in our hospital are reported as follows. |
| Key words: foreign body,image,Intraoperative ultrasound |
