Successful treatment of a high-level bile duct injury with a collaboration of a surgeon and an interventional radiologist: an unusual case

Chirurgia ◽  
2021 ◽  
Vol 34 (2) ◽  
Author(s):  
Sadik PEREK ◽  
Vedat DURGUN ◽  
Ozan AKINCI ◽  
Asiye PEREK ◽  
Murat CANTAŞDEMIR
Keyword(s):  
Bile Duct ◽  
Bile Duct Injury ◽  
Successful Treatment ◽  
Unusual Case ◽  
Interventional Radiologist ◽  
High Level

Successful Treatment of Bile Duct Injury Inflicted during Laparoscopic Cholecystectomy by Endoscopic Retrograde Biliary Drainage

Endoscopy ◽  
1992 ◽  
Vol 24 (09) ◽  
pp. 801-801 ◽  
Author(s):  
S. Obata ◽  
K. Araki ◽  
J. Mizutani ◽  
K. Fujioka ◽  
Y. Matsumoto ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Successful Treatment ◽  
Biliary Drainage ◽  
Endoscopic Retrograde

scholarly journals Percutaneous Transhepatic Cholangioscopy and Stone Extraction in a Patient with Recurrent Cholangitis Following Liver Trauma

2021 ◽  
Vol 11 ◽  
pp. 11
Author(s):  
Lee K. Rousslang ◽  
Omar Faruque ◽  
Kyler Kozacek ◽  
J. Matthew Meadows
Keyword(s):  
Bile Duct ◽  
Bile Duct Injury ◽  
Stone Formation ◽  
Gallstone Pancreatitis ◽  
Stone Extraction ◽  
Biliary Stones ◽  
Interventional Radiologist ◽  
Biliary Stone ◽  
First Case ◽  
Percutaneous Transhepatic Cholangioscopy

Percutaneous transhepatic cholangioscopy (PTCS) is a safe and effective treatment for obstructive biliary stones, when endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful or unavailable. Once percutaneous access is gained into the biliary tree by an interventional radiologist, the biliary ducts can be directly visualized and any biliary stones can be managed with lithotripsy, mechanical fragmentation, and/or percutaneous extraction. We report a case of a 45-year-old man who sustained a traumatic liver laceration and associated bile duct injury, complicated by bile duct ectasia and intrahepatic biliary stone formation. Despite undergoing a cholecystectomy, multiple ERCPs, and percutaneous transhepatic cholangiogram with drain placement, the underlying problem was not corrected leading to recurrent bouts of gallstone pancreatitis and cholangitis. He was ultimately referred to an interventional radiologist who extracted the impacted intrahepatic biliary stones that were thought to be causing his recurrent infections through cholangioscopy. This is the first case of PTCS with biliary stone extraction in the setting of recurrent biliary obstruction and cholangitis due to traumatic bile duct injury.

393 What Are the Risk Factors for Anastomotic Stricture After Bile Duct Injury Repair? A Systematic Review and Meta-Analysis

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
L Hall ◽  
J Halle-Smith ◽  
J Hodson ◽  
K Roberts
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Anastomotic Stricture ◽  
Meta Analysis ◽  
Bile Leak ◽  
Legal Cases ◽  
Stricture Rate ◽  
High Level

Abstract Introduction Hepaticojejunostomy (HJ) is the standard repair following major bile duct injury (BDI), but anastomotic stricture can result in long-term morbidity. There is a need to assimilate high-level evidence to establish risk factors for the development of anastomotic stricture after HJ for BDI. Method A systematic review of studies reporting the rate of anastomotic stricture after HJ for BDI was performed according to PRISMA guidelines. Meta-analyses of proposed risk factors were then performed. Results Meta-analysis included five factors (n = 2,198 patients, 17 studies). Vascular injury (OR 2.71; 95%CI 1.37-5.35; p = 0.004), postoperative bile leak (OR: 8.03; 95%CI 2.04-31.71; p = 0.003), previous repair (OR: 5.36; 95%CI 1.04-27.76;p=0.05) and repair by non-specialist surgeon (OR 11.29; 95%CI 5.21-24.47; p < 0.0001) were associated with HJ stricture after BDI. Strasberg injury grade was not associated with HJ stricture (OR: 1.05; 95%CI 0.63-1.75; p = 0.86). Due to heterogeneity of reporting it was not possible to perform meta-analysis for impact of timing of repair on anastomotic stricture rate. Conclusions This meta-analysis identifies factors that significantly increase the rate of anastomotic stricture after HJ for BDI. Knowledge of these risk factors will allow risk stratification in terms of follow-up for individual cases, better informed consent, and guidance for medico-legal cases.

Abstract #218: An Unusual Case of Insulin Resistance Type B and its Successful Treatment with Combination Immunotherapy

2017 ◽  
Vol 23 ◽  
pp. 38-39
Author(s):  
Sheetal Malhotra ◽  
Shanaz Sikder ◽  
Elaine Cochran ◽  
Mattingly Megan ◽  
Gorden Phillip ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Successful Treatment ◽  
Unusual Case ◽  
Combination Immunotherapy ◽  
Type B

A new mouse model of sclerosing cholangitis combining toxic and immune mediated bile duct injury

2015 ◽  
Vol 53 (12) ◽  
Author(s):  
F Glaser ◽  
B Engel ◽  
C John ◽  
T Krech ◽  
A Carambia ◽  
...  
Keyword(s):  
Bile Duct ◽  
Mouse Model ◽  
Bile Duct Injury ◽  
Sclerosing Cholangitis ◽  
Immune Mediated

scholarly journals Iatrogenic Bile Duct Injuries: An Overview and A Review of Literature

2021 ◽  
Vol 07 (01) ◽  
pp. 037-043
Author(s):  
Vinoth M. ◽  
Abhijit Joshi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Surgical Procedures ◽  
Surgical Repair ◽  
Review Of Literature ◽  
Bile Duct Injuries ◽  
Iatrogenic Bile Duct Injury

Abstract​ Laparoscopic cholecystectomy (LC) is one of the most frequently performed surgical procedures worldwide. Iatrogenic bile duct injury (IBDI) is a serious complication of LC and has an incidence of 0.3 to 0.7%. Since it is associated with a significant and potentially lifelong morbidity as well as mortality, diagnosing IBDI as early as possible is of paramount importance. Management of bile duct injuries and prognosis of their surgical repair depend on the timing of its recognition, type and the extent of the injury. In this paper, we present a case of IBDI and attempt to discuss all its dimensions.

scholarly journals Right hepatectomy as a salvage treatment for stewart-way type IV bile duct injury

HPB ◽  
2020 ◽  
Vol 22 ◽  
pp. S170
Author(s):  
J.L. Beristain-Hernandez ◽  
M. Garcia-Sanchez
Keyword(s):  
Bile Duct ◽  
Bile Duct Injury ◽  
Salvage Treatment ◽  
Right Hepatectomy ◽  
Type Iv

Iatrogenic Bile Duct Injury. A Significant Surgical Problem. Assessment of Treatment Outcomes in the Department's Own Material

2015 ◽  
Vol 86 (12) ◽  
Author(s):  
Adam Bobkiewicz ◽  
łukasz Krokowicz ◽  
Tomasz Banasiewicz ◽  
Tomasz Kościński ◽  
Maciej Borejsza-Wysocki ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Retrospective Analysis ◽  
Bile Duct Injury ◽  
Clinical Symptoms ◽  
Open Cholecystectomy ◽  
Multidisciplinary Treatment ◽  
Laparoscopic Technique ◽  
Primary Surgery ◽  
Iatrogenic Bile Duct Injury

AbstractIatrogenic bile duct injuries (BDI) are still a challenging diagnostic and therapeutic problem. With the introduction of the laparoscopic technique for the treatment of cholecystolithiasis, the incidence of iatrogenic BDI increased.was a retrospective analysis of 69 patients treated at the department due to iatrogenic BDI in the years 2004-2014.. In this paper, we presented the results of a retrospective analysis of 69 patients treated at the Department due to iatrogenic BDI in the years 2004-2014. The data were analysed in terms of age, sex, type of biliary injury, clinical symptoms, the type of repair surgery, the time between the primary surgery and the BDI management, postoperative complications and duration of hospital stay.. 82.6% of BDI occurred during laparoscopic cholecystectomy, 8.7% occurred during open cholecystectomy, whereas 6 cases of BDI resulted from surgeries conducted for other indications. In order to assess the degree of BDI, Bismuth and Neuhaus classifications were used (for open and laparoscopic cholecystectomy respectively). 84.1% of patients with confirmed BDI, were transferred to the Department from other hospitals. The average time between the primary surgery and reoperation was 6.2 days (SD 4). The most common clinical symptom was biliary fistula observed in 78.3% of patients. In 28 patients, unsuccessful attempts to manage BDI were made prior to the admission to the Department in other centres. The repair procedure was mainly conducted by laparotomy (82.6%) and by the endoscopic approach (15.9%). Hepaticojejunostomy was the most common type of reconstruction following BDI (34.7%).. The increase in the rate of iatrogenic bile duct injury remains a challenging surgical problem. The management of BDI should be multidisciplinary treatment. Referring patients with both suspected and confirmed iatrogenic BDI to tertiary centres allows more effective treatment to be implemented.

Combined portal vein, hepatic artery and bile duct injury during open cholecystectomy

2021 ◽  
Author(s):  
Narendra Pandit ◽  
Tek Narayan Yadav ◽  
Kunal Bikram Deo ◽  
Laligen Awale ◽  
Lokesh Shekher Jaiswal
Keyword(s):  
Bile Duct ◽  
Portal Vein ◽  
Hepatic Artery ◽  
Bile Duct Injury ◽  
Open Cholecystectomy
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