RESUMEN

Hilar cholangiocarcinoma is the most common cause of a stricture in the hilar region, and hilar stricture in the absence of any previous surgical intervention should be considered to indicate malignant disease until proven otherwise. We present a rare case of isolated hilar tubercular stricture, all the features of which were suggestive of malignancy.

Asunto(s)

Neoplasias de los Conductos Biliares/diagnóstico , Colestasis/microbiología , Tuberculosis/diagnóstico , Tuberculosis/terapia , Adulto , Antituberculosos/uso terapéutico , Pancreatocolangiografía por Resonancia Magnética , Diagnóstico Diferencial , Humanos , Laparoscopía , Masculino

RESUMEN

A case of esophageal carcinoma underwent transthoracic esophagectomy with gastric pull-up. Postoperatively the patient had gastric conduit necrosis which manifested as biliary leak through the chest tube and was managed with colonic interposition. We present our unique experience of managing failed gastric pull-up with review of concerned literature.