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Canadian Journal of Anesthesia 47:50-52 (2000)
© Canadian Anesthesiologists' Society, 2000
Brief Clinical Report

Previous cholecystectomy and choledochal sphincter spasm after morphine sedation

Anthony M.-H. Ho, MD MSc FRCPC

From the Department of Anaesthesia and Intensive Care, Prince of Wales Hospital and Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, PRC.

Address correspondence to: Dr. Anthony Ho, Phone: 852-2632-2735; Fax: 852-2637-2422; E-mail: hoamh{at}hotmail.com

Objectif : Décrire un cas de spasme du sphincter cholédocien faisant suite à la prise de morphine préopératoire et suggérer que des antécédents de cholécystectomie soient un facteur prédisposant.

Éléments cliniques : Un homme de 60 ans, admis pour un pontage de l'artère fémoro-poplité a développé une douleur abdominale au quadrant supérieur droit après avoir pris de la morphine et de la scopolamine préopératoires. Il avait subi auparavant une cholécystectomie. Sa douleur a été soulagée avec la naloxone.

Conclusion : Le spasme du sphincter cholédocien devrait figurer au diagnostic différentiel lors de douleur abdominale au quadrant supérieur droit après avoir reçu des doses sédatives de morphine, surtout s'il y a eu déjà une cholécystectomie.





This Article
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