Rupture of intrahepatic bile duct after ERCP for common bile duct stone: A case report of rare complications.

Autor:	Ly TH; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Department of Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam., Pham QT; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Department of Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam., Tran LH; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Department of Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam., Tran HN; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Department of Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam., Tran PD; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam., Nguyen KHA; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam., Le THT; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam., Pham TQ; Department of Surgery, Pham Ngoc Thach University, Vietnam.
Jazyk:	angličtina
Zdroj:	Medicine [Medicine (Baltimore)] 2024 Aug 16; Vol. 103 (33), pp. e39283.
DOI:	10.1097/MD.0000000000039283
Abstrakt:	Rationale: Complications after endoscopic retrograde cholangiopancreatography (ERCP) are diverse and usually treated with nonoperative management or percutaneous drainage; however, there are still some rare, life-threatening complications. This is an extremely rare case of biliary peritonitis caused by rupture of the intrahepatic bile duct after ERCP. Patient Concerns: A 63-year-old male underwent ERCP for common bile duct stones. On the second day after the procedure, the patient developed sepsis and abdominal distention. Contrast-enhanced computed tomography revealed a subcapsular hepatic fluid collection attached to the bile duct of segment VII. Diagnoses: Sepsis resulted in liver parenchyma rupture and intrahepatic bile duct injury after ERCP. Intraoperative cholangiography revealed a connection between a hole in the liver parenchymal surface and the intrahepatic bile duct. Interventions: Surgeons performed the cholecystectomy, inserted a T-tube into the common bile duct stones, sutured the defect, and put 2 drainage tubes around the lesion. Outcomes: Postoperative recovery was uneventful, and the patient was discharged on the 17th postoperative day. Lessons: Intrahepatic bile duct perforation after ERCP can lead to rupture of the liver parenchyma, biloma, or abdominal peritonitis. Multidisciplinary management is necessary to achieve favorable outcomes. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu