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  • Approach Duodenostomy Pada Batu CBD Pasca ERCP Terpasang T Tube

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    Vandra Prinosa
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    This case report describes a 52-year-old woman who presented with jaundice for 3 weeks. She had a history of extrahepatic obstructive jaundice due to a common bile duct (CBD) stone 2 months prior, which was treated with endoscopic retrograde cholangiopancreatography (ERCP) that found a large CBD stone and placement of a T tube. She underwent a duodenostomy procedure to evacuate the stone. Duodenostomy is rarely performed but can be done for large CBD stones after failed ERCP. Prompt diagnosis and management is important to prevent complications like cholangitis.

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    This case report describes a 52-year-old woman who presented with jaundice for 3 weeks. She had a history of extrahepatic obstructive jaundice due to a common bile duct (CBD) stone 2 months prior, which was treated with endoscopic retrograde cholangiopancreatography (ERCP) that found a large CBD stone and placement of a T tube. She underwent a duodenostomy procedure to evacuate the stone. Duodenostomy is rarely performed but can be done for large CBD stones after failed ERCP. Prompt diagnosis and management is important to prevent complications like cholangitis.

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    12 views2 pages

    Approach Duodenostomy Pada Batu CBD Pasca ERCP Terpasang T Tube

    Uploaded by

    Vandra Prinosa
    This case report describes a 52-year-old woman who presented with jaundice for 3 weeks. She had a history of extrahepatic obstructive jaundice due to a common bile duct (CBD) stone 2 months prior, which was treated with endoscopic retrograde cholangiopancreatography (ERCP) that found a large CBD stone and placement of a T tube. She underwent a duodenostomy procedure to evacuate the stone. Duodenostomy is rarely performed but can be done for large CBD stones after failed ERCP. Prompt diagnosis and management is important to prevent complications like cholangitis.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Case Report

    Approach Duodenostomy Pada Batu CBD pasca ERCP terpasang T tube

    Oleh :

    dr. Vandra Prinosa

    Pembimbing :

    dr. M. Iqbal Rivai, Sp.B-KBD

    BAGIAN ILMU BEDAH

    FAKULTAS KEDOKTERAN UNIVERSITAS ANDALAS

    RSUP DR. M. DJAMIL PADANG

    2019
    Abstract

    Approach Duodenostomy for CBD stone after ERCP with T tube

    Vandra Prinosa1, M. Iqbal Rivai 2


    Resident Departement General Surgery, Faculty of Medicine Andalas/ M. Djamil Hospital1,
    Departement of Digestive, M. Djamil Hospital2

    Introduction: Jaundice is change in the color of the skin, eyes, or mucous membrane tissue that
    turns yellow due to increased levels of bilirubin in the blood. One of the extra hepatic obstructive
    jaundic caused by the common bile duct (CBD) stone. CBD stone can be as a primary process in
    the duct of the coleducus, but the stone can also be a secondary stone that comes from the
    gallbladder and then passes through the cystic duct and becomes a stone in the common bile
    duct. This case report presents a woman , 52-year-old woman came to M.Djamil hospital with
    complaints of jaundice all of the body since 3 weeks ago, the patient had a history of extra
    hepatic obstructive jaundice ec CBD stone 2 months ago had ERCP found large CBD stone, then
    explored CBD and T Tube. Performed duodenostomy for stone evacuation

    Method : The design of this study is a case report. Patients with jaundice after the ERCP procedure
    with T Tube

    Conclusion: Duodenostomy is rarely performed, but it can be done in cases of extrahepatic


    obstructive jaundice ec large CBD stones. Management in patients with CBD stones is often done by
    endoscopic, but it is also possible to do an duodenostomy. Delay in diagnosis and management can
    cause complications such as cholangitis

    Keyword : Jaundice, CBD stone, Duodenostomy

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