Wu Xiangming,Chen Yajun,Pang Wenbo,et al.A Case Report of Congenital brochobiliary fistula and Miss Diagnosis[J].Journal of Clinical Pediatric Surgery,2019,18(05):429-431.[doi:10.3969/j.issn.1671-6353.2019.05.018]
先天性支气管胆管瘘1例报道及漏诊分析
- Title:
- A Case Report of Congenital brochobiliary fistula and Miss Diagnosis
- Keywords:
- Bronchial Fistula/CN; Bronchial Fistula/CO; Biliary Fistula/CN; Diagnosis Errors; Surgical Procedures; Operative
- 分类号:
- R729;R657.4
- 摘要:
- 目的 探讨先天性支气管胆管瘘的临床诊治过程，减少漏诊。方法 回顾性分析1例首都医科大学附属北京儿童医院收治的先天性支气管胆管瘘患儿的相关临床表现及各项检查结果，对该病的诊治进行经验总结。结果 本例患儿最终通过支气管镜检查发现黄色粘液溢出的异常开口，但前期就诊多家医院均未行该项检查，胸部CT、MRI检查结果也未能提供有力诊断依据；从临床表现上看，先天性支气管胆管瘘易与先天性消化道畸形、重症肺炎、气管食管瘘、胃食管反流等疾病相混淆。结论 先天性支气管胆管瘘临床上非常罕见，通过本次报道可提高医者对本病的认识，减少漏诊。
- Abstract:
- Objective To investigate the clinical diagnosis and treatment of congenital bronchial bile duct fistula and reduce missed diagnosis. Methods A retrospective analysis of the clinical manifestations and findings of a congenital bronchial bile duct in a Beijing Children’s Hospital affiliated to Capital Medical University was conducted to summarize the experience of the diagnosis and treatment of the disease.Results In this case, the abnormal opening of yellow mucus overflow was found by bronchoscopy. However, many hospitals did not perform this examination in the previous stage. The results of chest CT and MRI did not provide a strong diagnosis. From the clinical performance point of view Congenital bronchial bile duct is easily confused with congenital gastrointestinal malformations, severe pneumonia, tracheoesophageal fistula, gastroesophageal reflux and other diseases. Conclusion Congenital bronchial bile duct fistula is very rare in clinical practice. This report can improve the doctor’s understanding of the disease and reduce missed diagnosis.
参考文献/References:
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备注/Memo
收稿日期:2018-06-18。
基金项目:内蒙古包头市社会发展科技支撑项目（编号：2017S2001-6-5）
通讯作者:陈亚军,Email:chenyajunmd@aliyun.com