Ruptured biliary cyst with biliary peritonitis – a case report
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spcir.com/index.php/spcir/article/view/534 |
Resumo: | Introduction: Biliary cysts account for approximately 1-3% of all benign biliary diseases and their spontaneous rupture is extremely rare. The authors present a case where the initial event was biliary peritonitis. Case report: 72-year-old woman, admitted to the surgery ward with acute pancreatitis, with 2 Ranson criteria. Following the initial favourable evolution, there was a worsening in her clinical status, biliary obstruction, multiple organ dysfunction and admission to the Intensive Care Unit. She developed an acute abdomen, which led to an urgent laparotomy, with the diagnosis of a biliary peritonitis. A biliary tract decompression and a per-operatory cholangiography were performed, with no identification of the origin of the leak. It was necessary to perform a laparostomy. At a 48h-reviewing laparostomy, another cholangiography was performed, showing a ruptured biliary cyst, with contrast leak in the IVb hepatic segment. Conclusion: This case reports the peculiar etiology of a ruptured biliary cyst, with the presentation of a biliary peritonitis in a patient admitted with acute pancreatitis. |
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Ruptured biliary cyst with biliary peritonitis – a case reportColeperitoneu por rutura de quisto biliar – a propósito de um caso clínicobiliary cystsbiliary peritonitischolangiographyspontaneous ruptureacute pancreatitisquisto biliarcoleperitoneucolangiografiarutura espontâneapancreatite agudaIntroduction: Biliary cysts account for approximately 1-3% of all benign biliary diseases and their spontaneous rupture is extremely rare. The authors present a case where the initial event was biliary peritonitis. Case report: 72-year-old woman, admitted to the surgery ward with acute pancreatitis, with 2 Ranson criteria. Following the initial favourable evolution, there was a worsening in her clinical status, biliary obstruction, multiple organ dysfunction and admission to the Intensive Care Unit. She developed an acute abdomen, which led to an urgent laparotomy, with the diagnosis of a biliary peritonitis. A biliary tract decompression and a per-operatory cholangiography were performed, with no identification of the origin of the leak. It was necessary to perform a laparostomy. At a 48h-reviewing laparostomy, another cholangiography was performed, showing a ruptured biliary cyst, with contrast leak in the IVb hepatic segment. Conclusion: This case reports the peculiar etiology of a ruptured biliary cyst, with the presentation of a biliary peritonitis in a patient admitted with acute pancreatitis.Introdução: Os quistos do trato biliar representam cerca de 1 a 3% da patologia hepática benigna e a sua rutura como complicação é extremamente rara. A propósito do tema, os autores apresentam um caso onde a ocorrência de coleperitoneu foi o evento diagnóstico. Caso clínico: Doente do sexo feminino de 72 anos de idade, admitida ao serviço de cirurgia por pancreatite aguda litiásica, com 2 critérios de Ranson. À evolução favorável inicial, seguiu-se agravamento do estado clínico, obstrução biliar, instalação de disfunção multiorgânica e necessidade de admissão em Cuidados Intensivos. Desenvolvimento de ventre agudo que motivou laparotomia urgente onde se constatou coleperitoneu. Realizada descompressão da via biliar principal e colangiografia per-operatória, sem identificação de causa aparente para a fuga biliar. Decidida confeção de laparostomia. Na revisão da laparostomia às 48 horas, efetuou-se nova colangiografia tendo-se identificado quisto biliar roto com fuga de contraste ao nível do segmento hepático IVb. Conclusão: Este caso relata a etiologia bizarra da rutura espontânea de um quisto biliar tendo como forma de apresentação coleperitoneu, enxertado num quadro de pancreatite aguda litiásica.Sociedade Portuguesa de Cirurgia2018-09-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spcir.com/index.php/spcir/article/view/534Revista Portuguesa de Cirurgia; No. 44 (2018): Number 44 - March 2018; 13 - 17Revista Portuguesa de Cirurgia; N.º 44 (2018): Número 44 - Março 2018; 13 - 172183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/534https://revista.spcir.com/index.php/spcir/article/view/534/523Copyright (c) 2018 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessFerreira, CátiaMelo, A.Silva, S.Lage, J.Próspero, F.Pinto, B.Ribeiro, A.Oliveira, A.2024-10-24T16:52:53Zoai:revista.spcir.com:article/534Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-10-24T16:52:53Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Ruptured biliary cyst with biliary peritonitis – a case report Coleperitoneu por rutura de quisto biliar – a propósito de um caso clínico |
title |
Ruptured biliary cyst with biliary peritonitis – a case report |
spellingShingle |
Ruptured biliary cyst with biliary peritonitis – a case report Ferreira, Cátia biliary cysts biliary peritonitis cholangiography spontaneous rupture acute pancreatitis quisto biliar coleperitoneu colangiografia rutura espontânea pancreatite aguda |
title_short |
Ruptured biliary cyst with biliary peritonitis – a case report |
title_full |
Ruptured biliary cyst with biliary peritonitis – a case report |
title_fullStr |
Ruptured biliary cyst with biliary peritonitis – a case report |
title_full_unstemmed |
Ruptured biliary cyst with biliary peritonitis – a case report |
title_sort |
Ruptured biliary cyst with biliary peritonitis – a case report |
author |
Ferreira, Cátia |
author_facet |
Ferreira, Cátia Melo, A. Silva, S. Lage, J. Próspero, F. Pinto, B. Ribeiro, A. Oliveira, A. |
author_role |
author |
author2 |
Melo, A. Silva, S. Lage, J. Próspero, F. Pinto, B. Ribeiro, A. Oliveira, A. |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Ferreira, Cátia Melo, A. Silva, S. Lage, J. Próspero, F. Pinto, B. Ribeiro, A. Oliveira, A. |
dc.subject.por.fl_str_mv |
biliary cysts biliary peritonitis cholangiography spontaneous rupture acute pancreatitis quisto biliar coleperitoneu colangiografia rutura espontânea pancreatite aguda |
topic |
biliary cysts biliary peritonitis cholangiography spontaneous rupture acute pancreatitis quisto biliar coleperitoneu colangiografia rutura espontânea pancreatite aguda |
description |
Introduction: Biliary cysts account for approximately 1-3% of all benign biliary diseases and their spontaneous rupture is extremely rare. The authors present a case where the initial event was biliary peritonitis. Case report: 72-year-old woman, admitted to the surgery ward with acute pancreatitis, with 2 Ranson criteria. Following the initial favourable evolution, there was a worsening in her clinical status, biliary obstruction, multiple organ dysfunction and admission to the Intensive Care Unit. She developed an acute abdomen, which led to an urgent laparotomy, with the diagnosis of a biliary peritonitis. A biliary tract decompression and a per-operatory cholangiography were performed, with no identification of the origin of the leak. It was necessary to perform a laparostomy. At a 48h-reviewing laparostomy, another cholangiography was performed, showing a ruptured biliary cyst, with contrast leak in the IVb hepatic segment. Conclusion: This case reports the peculiar etiology of a ruptured biliary cyst, with the presentation of a biliary peritonitis in a patient admitted with acute pancreatitis. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-09-08 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/534 |
url |
https://revista.spcir.com/index.php/spcir/article/view/534 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/534 https://revista.spcir.com/index.php/spcir/article/view/534/523 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No. 44 (2018): Number 44 - March 2018; 13 - 17 Revista Portuguesa de Cirurgia; N.º 44 (2018): Número 44 - Março 2018; 13 - 17 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
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1817548613155291136 |