Endoscopic recanalization following accidental ligation of the common hepatic duct. A new technique.

Artifon, E L A; Lopes, T L; da Silveira, E; Couto, D; Furuya, C; Paione, J; Fraga, G P; Moura, E; Sakai, P; Baron, T H

Artifon, E L A; Lopes, T L; da Silveira, E; Couto, D; Furuya, C; Paione, J; Fraga, G P; Moura, E; Sakai, P; Baron, T H.

Afiliação

Artifon EL; Biliopancreatic and Echoendoscopic Service, Ana Costa Hospital, Santos, Brazil. eartifon@hotmail.com

Rev Gastroenterol Mex ; 75(2): 191-4, 2010.

Article em En | MEDLINE | ID: mdl-20615790

RESUMO

Bile duct injury is a known complication of cholecystectomy. While minor injuries can be treated endoscopically, successful endoscopic management of complete ligation of the common hepatic duct (CHD) has not been described. Our aim was to report a novel technique for endoscopic recanalization of accidently ligated CHD. We demonstrated a 75 year old woman presented with a small bile leak and complete ligation of the CHD after open cholecystectomy subjected to successful biliary endoscopic recanalization. Cholangiogram demonstrated resolution of the bile leak and minimal residual narrowing of the CHD. Endoscopic intervention following biliary needle puncture access may avoid surgery in patients with CHD ligation or complex stenosis.

Assuntos

Colecistectomia; Endoscopia do Sistema Digestório; Ducto Hepático Comum/lesões; Complicações Intraoperatórias/cirurgia; Idoso; Catéteres; Desenho de Equipamento; Feminino; Humanos; Ligadura

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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Colecistectomia / Endoscopia do Sistema Digestório / Ducto Hepático Comum / Complicações Intraoperatórias Limite: Aged / Female / Humans Idioma: En Revista: Rev Gastroenterol Mex Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Brasil País de publicação: México

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