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Case Reports
. 2023 Dec 11;16(12):e254394.
doi: 10.1136/bcr-2022-254394.

Treatment of complex iatrogenic common hepatic duct injury following laparoscopic cholecystectomy

Andreia Guimarães  1 , Mariana Lemos  2 , Paulo Donato  3 , António Bernardes  1
Affiliations
Case Reports

Treatment of complex iatrogenic common hepatic duct injury following laparoscopic cholecystectomy

Andreia Guimarães et al. BMJ Case Rep. .

Abstract

We report the case of a woman in her 40s, with no significant medical history, submitted to a laparoscopic cholecystectomy in our institution for symptomatic gallbladder lithiasis. On postoperative day 4, she presented to our emergency room with severe abdominal pain and elevated inflammatory markers. Abdominal CT scan revealed a mass filled with liquid and air in the gallbladder fossa. Surgical exploration was performed revealing a major common hepatic duct iatrogenic injury, which was managed using suture over a T-tube. Three months after surgery, cholangiography showed a biliary stenosis, and a biodegradable stent was inserted through percutaneous transhepatic access. The difficulties in the management of this condition and its outcomes are discussed in this report.

Keywords: Gastroenterology; Gastrointestinal surgery; Interventional radiology; Radiology.

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Conflict of interest statement

Competing interests: None declared.

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References

    1. Lubikowski J, Piotuch B, Stadnik A, et al. . Difficult iatrogenic bile duct injuries following different types of upper abdominal surgery: report of three cases and review of literature. BMC Surg 2019;19:162. 10.1186/s12893-019-0619-0 - DOI - PMC - PubMed
    1. Hajjar NA, Tomuş C, Mocan L, et al. . Management of bile duct injuries following laparoscopic cholecystectomy: long-term outcome and risk factors influencing biliary reconstruction. Chirurgia (Bucur) 1990;109:493–9. - PubMed
    1. Pesce A, Palmucci S, La Greca G, et al. . Iatrogenic bile duct injury: impact and management challenges. Clin Exp Gastroenterol 2019;12:121–8. 10.2147/CEG.S169492 - DOI - PMC - PubMed
    1. Felli E, Mascagni P, Wakabayashi T, et al. . Feasibility and value of the critical view of safety in difficult cholecystectomies. Ann Surg 2019;269:e41. 10.1097/SLA.0000000000003096 - DOI - PubMed
    1. G. Almeida G, Donato P. Biodegradable versus multiple plastic stent implantation in benign biliary strictures: a systematic review and meta-analysis. Eur J Radiol 2020;125:108899. 10.1016/j.ejrad.2020.108899 - DOI - PubMed

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