Three complications of pair (puncture, aspiration, injection, reaspiration) in one case: Recurrent hemobilia, cyst infection and pneumonia

Basit Öğe Kaydı
dc.contributor.authorSevinc, B.
dc.contributor.authorKarahan, O.
dc.contributor.authorBakdik, S.
dc.contributor.authorAksoy, N.
dc.contributor.authorEryilmaz, M. A.
dc.date.accessioned2024-02-23T14:03:14Z
dc.date.available2024-02-23T14:03:14Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractINTRODUCTION: With the appropriate indications, puncture, aspiration, injection and reaspiration (PAIR) is the most effective minimal invasive method used in the treatment of hydatic cysts. Hemobilia is the hemorrhagia in bile ducts in consequence of any reason. In literature there is no case with hemobilia because of PAIR. This is the first case with recurrent hemobilia, infection in cyst cavity and pneumonia because of PAIR. CASE: A 66 years old female patient was admitted to hospital with complaints of abdominal pain, hematemesis and melaena. She gave the history of PAIR for two hydatic cysts. At physical examination, there were jaundice, tenderness at right subcostal area and melaena at rectal digital examination. Hemobilia was detected by abdominal ultrasonography and magnetic resonance cholangiopancreaticography (MRCP). An endoscopic retrograde cholangiopancreaticography (ERCP) and endoscopic sphincterotomy were performed. The patient was discharged after 6 days hospital stay. One day after the discharge the patient was admitted to hospital with the same complaints again. Performing ERCP and balloon extraction, the hematoma filling the common bile duct was removed. After the patient was hemodynamically stable for 3 days, she was discharged from the hospital. A week after that the patient was admitted to hospital with the clinical findings of infected hydatic cyst and pneumonia. The patient was treated medically with mechanical ventilation support for 8 days. CONCLUSION: It should not be underestimated that, there can be serious complications of PAIR like hemobilia. Therefore, PAIR should be performed only in centers having appropriate medical and surgical facilities. (C) 2015 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd.en_US
dc.identifier.doi10.1016/j.ijscr.2015.02.007
dc.identifier.endpage192en_US
dc.identifier.issn2210-2612
dc.identifier.pmid25683390en_US
dc.identifier.scopus2-s2.0-84923933907en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage189en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijscr.2015.02.007
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12030
dc.identifier.volume8en_US
dc.identifier.wosWOS:000388732900053en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInternational Journal Of Surgery Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHemobiliaen_US
dc.subjectPairen_US
dc.subjectHydatid Cysten_US
dc.subjectErcpen_US
dc.titleThree complications of pair (puncture, aspiration, injection, reaspiration) in one case: Recurrent hemobilia, cyst infection and pneumoniaen_US
dc.typeArticleen_US

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