An unusual cause of delayed presentation of laparoscopic common bile duct injury.

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.

• 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)

Topics

• Aged
• Anastomosis, Roux-en-Y
• Cholangitis (etiology)
• Cholecystectomy, Laparoscopic (adverse effects)
• Common Bile Duct (injuries)
• Female
• Humans
• Reoperation