Common bile duct stricture after laparoscopic cholecystectomy: case report.
We present a case of a 78-year-old jaundiced male patient who sustained
common hepatic duct injury during laparoscopic cholecystectomy eight months earlier.
Exploratory laparotomy, ERCP and MRCP revealed a metal clip placed just below hepatic duct confluence
and causing stricture of bile duct with dilatation of bile ducts proximal to the level of stenosis
(Strasberg classification type E3 injury). Repair of the injury was performed by creating termino-lateral
hepaticojejunostomy between the right and left hepatic ducts and retrocolic Roux en-Y jejunal
limb. By presenting this case, we wish to emphasize the importance of timely conversion and execution
of intraoperative cholangiography in all cases when identification of the structures of Calot’s
triangle is not clear enough. Successful treatment of bile duct injury is only possible with joint approach
of radiologist, gastroenterologist and experienced hepatobiliary surgeon.
PMID: 29120568 [PubMed - in process]
Source: Acta Clinica Croatica - Category: General Medicine Tags: Acta Clin Croat Source Type: research
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