Paradicsomhéj: az epeúti elzáródás ritka oka = Tomato peel: rare cause of biliary tract obstruction

Az idegen testek, illetve a taplalekbezoarok ritkan okoznak epeuti elzarodast. Altalaban korabbi epeuti beavatkozast kovetően (endoszkopos sphincterotomia, biliodigesztiv anastomosis) vagy duodenumdiverticulum jelenletekor jonnek letre. Legtobbszor nem okoznak panaszt, elhagyjak a gyomor-bel rendszert, de epeuti elzarodaskor hasi gorcsos fajdalom, elzarodasos sargasag jelentkezik. Az endoszkopos retrograd cholangiopancreatographia nyujt segitseget a felismeresben es a kezelesben. A szerzők 91 eves nőbeteguk kortortenetet ismertetik, akinel hanyas, jobb bordaiv alatti nyomaserzekenyseg hattereben paradicsomhej okozta epeuti elzarodas igazolodott. Orv. Hetil., 2011, 152, 1907–1910. | Foreign bodies in the biliary tree are rare causes of obstructive jaundice. Food bezoars are infrequent as well. They can cause biliary obstruction after biliary tract interventions, or in the presence of biliary-bowel fistula or duodenum diverticulum. Food bezoars usually pass the gastrointestinal tract without any symptoms, but they can cause abdominal pain and obstructive jaundice in the case of biliary tract obstruction. Endoscopic retrograde cholangio-pancreatography has the major role in the diagnosis and the treatment of the disease. Authors summarize the medical history of a 91-year-old female patient, who developed vomiting and right subcostal pain due to the presence of tomato peel within the ductus choledochus. Orv. Hetil., 2011, 152, 1907–1910.