Intraoperatively malpositioned stent as a complication of common bile duct injury during laparoscopic cholecystectomy.

Authors:
Anne Schmitt
Anne Schmitt
RWTH Aachen University
Germany
Manuela Cesaretti
Manuela Cesaretti
University of Genoa
France
Long R Jiao
Long R Jiao
Imperial College
United Kingdom

Ann Hepatobiliary Pancreat Surg 2019 Feb 28;23(1):84-86. Epub 2019 Feb 28.

HPB Surgery Unit, Hammersmith Hospital, NHS/Imperial College, London, UK.

Injuries occurring during laparoscopic bile duct exploration in the course of laparoscopic cholecystectomy may represent threatening complications and lead to inappropriate management. We present a case of patient with biliary colic who underwent laparoscopic cholecystectomy. During the procedure, a common bile duct injury occurred, compelling conversion to open approach, and the patient was treated using a manually inserted biliary stent. She was referred with severe right upper quadrant pain six weeks after the surgery. Investigation with endoscopic retrograde cholangiopancreatography showed a malpositioned biliary stent with completely extra-biliary trajectory. This is thought to be the first description of a malpositioned common bile duct stent through the common biliary duct as a complication of the commonly performed surgical procedure of bile duct exploration.

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Source
http://dx.doi.org/10.14701/ahbps.2019.23.1.84DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405361PMC
February 2019
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