ERCPs can be challenging and unpredictable. We have to think on our feet and sometimes be ready to change plan in the middle of the procedure. The other day, I found myself in just such a situation.
A 52 year old man with Polycystic Kidney and Liver Disease (PKLD) and a history of subdural haematoma (with good recovery) presented with recurrent cholangitis. An MRCP showed 2 stones in a dilated bile duct and numerous cysts in the liver and kidneys. A colleague performed an ERCP but biliary cannulation was not possible despite a supra-papillary fistulotomy. The patient was referred to me for another attempt at ERCP… |
子宫动脉（内侧方法）和子宫卵巢韧带的临时
消化外科病例精析 第2册PDF
胆胰内镜诊疗疑难病例解析.pdf
阴茎硬结症手术
发表于 2016-9-6 09:00:23
提升卡
置顶卡
沉默卡
喧嚣卡
变色卡
千斤顶
显身卡
楼主
