| Autor: |
Karayiannakis, A.J., Polychronidis, A., Simopoulos, C. |
| Zdroj: |
Surgical Endoscopy; 20240101, Issue: Preprints |
| Abstrakt: |
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. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
|
Full text from SpringerLink