Percutaneous Transabdominal Metallic Stent Placement for Palliation of Afferent Loop Syndrome: A Case Report
김건영, 한영민, 정은하, 진공용, 채금주, 이강지,
소속 상세정보
김건영 ( Kim Kun-Yung )
Chonbuk National University Medical School and Hospital Department of Radiology
한영민 ( Han Young-Min )
Chonbuk National University Medical School and Hospital Department of Radiology
정은하 ( Jung Eun-Ha )
Chonbuk National University Medical School and Hospital Department of Radiology
진공용 ( Jin Gong-Yong )
Chonbuk National University Medical School and Hospital Department of Radiology
채금주 ( Chae Kum-Ju )
Chonbuk National University Medical School and Hospital Department of Radiology
이강지 ( Lee Kang-Ji )
Chonbuk National University Medical School and Hospital Department of Radiology
Abstract
The authors report a successful outcome after percutaneous transabdominal placement of a self-expandable metallic stent in a patient who had afferent loop syndrome caused by recurrent common bile duct adenocarcinoma. Enhanced abdominal CT showed marked dilation of the afferent loop adjacent to the anterior peritoneum, multiple hepatic metastases and lymph node metastasis around the choledochojejunal anastomosis site without marked dilation of intrahepatic bile ducts. Percutaneous drainage catheter was successfully placed to the dilated afferent loop just below the abdominal wall. Subsequent successful palliation of the afferent loop obstruction was achieved by placing a self-expandable metallic stent via the transabdominal route with the aid of cone-beam CT.
키워드
Afferent Loop Syndrome; Self Expandable Metallic Stent; Common Bile Duct Neoplasms
원문 및 링크아웃 정보
등재저널 정보