Hepatic ductoplasty for iatrogenic Bismuth type 2 bile duct stricture: A case report
| Autor: | Fujii Hideki, Kazunori Takahashi, Daisuke Ichikawa, Okamoto Hirotaka, Wakana Hiroyuki, Kenji Kawashima |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Fistula Bile duct stricture Anastomosis Article 03 medical and health sciences 0302 clinical medicine Cholangiography Case report Medicine Hepatolithiasis Choledochojejunostomy medicine.diagnostic_test business.industry Bile duct Reflux medicine.disease Surgery medicine.anatomical_structure Reflux cholangitis 030220 oncology & carcinogenesis Duodenum 030211 gastroenterology & hepatology Chills medicine.symptom business Hepatic ductoplasty |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • The article represents recovering treatment of iatrogenic biliary tract injury by laparoscopic cholecystectomy. • Biliary tract stricture like Bismuth type 2 successfully treated by hepatic ductoplasty. • To emphasize the importance of avoiding biliary stricture is a key to prevent cholangitis and stone recurrences. Introduction Biliary enteric anastomosis is a well-known biliary reconstruction method. Anastomosis stricture is one of the complications of this procedure that occurs in some patients over the long-term. We report a successful case of hepatic ductoplasty combined with hepaticojejunostomy (H–J) for the treatment of iatrogenic Bismuth type 2 stricture. Presentation of case The patient was a 68-year-woman who had undergone choledochojejunostomy (C–J) 6 years earlier due to bile duct injury after laparoscopic cholecystectomy for cholelithiasis. She complained of recurrent chills and upper back pain. Cholangiography and computed tomography revealed a C–J anastomotic stricture with hepatolithiasis. The diagnosis was reflux cholangitis with hepatolithiasis due to C–J stricture and a fistula between the reconstructed jejunal limb and duodenum. Exploration was performed, and she underwent hepatic ductoplasty with H–J and hepaticolithotripsy. Surgery was performed uneventfully and the patient has remained well subsequently. Discussion and conclusion We propose hepatic ductoplasty as a useful technique for the treatment of selected patients with a C–J stricture or narrow hepatic duct. |
| Databáze: | OpenAIRE |
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