Abstract |
We describe an unusual case of a laparoscopic common bile duct (CBD) injury that presented with cholangitis 2 years after an apparently uneventful laparoscopic cholecystectomy. Preoperative ultrasound and endoscopic retrograde cholangiography suggested choledocholithiasis, showing proximal and intrahepatic duct dilatation with an inability to relieve the obstruction. At surgery, a lateral injury of the CBD wall with partial wall loss was found, adherent to an amorphous pigmented mass with the appearance of a knitted fabric causing CBD obstruction. The CBD was successfully reconstructed with a Roux-en-Y end-to-side hepaticojejunostomy, where the end of the Roux loop was anastomosed to the lateral CBD defect.
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Authors | A J Karayiannakis, A Polychronidis, C Simopoulos |
Journal | Surgical endoscopy
(Surg Endosc)
Vol. 17
Issue 1
Pg. 157
(Jan 2003)
ISSN: 1432-2218 [Electronic] Germany |
PMID | 12399869
(Publication Type: Case Reports, Journal Article)
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Topics |
- Aged
- Anastomosis, Roux-en-Y
- Cholangitis
(etiology)
- Cholecystectomy, Laparoscopic
(adverse effects)
- Common Bile Duct
(injuries)
- Female
- Humans
- Reoperation
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