Management of Biloma due to Biliary Tract Injury after Laparoscopic Cholecystectomy in a patient with Atypical Anatomy: A Case Report

Mohammadipour, Ahmad and Ghaderifar, Shiva and Joodi, Marjan and Majidi, Saeedeh and Khazravi, Mohammad Mahdi (2019) Management of Biloma due to Biliary Tract Injury after Laparoscopic Cholecystectomy in a patient with Atypical Anatomy: A Case Report. International Journal of Pediatrics, 7 (8). pp. 9799-9802.

[img] Text
IJP_Volume 7_Issue 8_Pages 9799-9802.pdf

Download (370kB)
Official URL: http://ijp.mums.ac.ir/article_12972.html

Abstract

 Introduction: Biliary tract injury is a major complication of laparoscopic cholecystectomywhich can be very challenging. But, the important part is to know the accurate anatomy of the ducts and site of the injury before any surgical attempt for ligation or repair. In this case a disaster might happen if we do not consider biliary anatomical abnormality as the main issue.  Case Report  In this case, there was an additional duct originating from the right hepatic lobe and inserting directly to the common bile duct (CBD) along with the right hepatic duct. The injury to this branch led to biloma secretion from two tearing sites, one proximal to the branch and another distal of the branch adjacent to CBD, during laparoscopic cholecystectomy.  Conclusion  There are numerous anatomic variations in the biliary tract, so according to this case we highly recommend to assay the exact anatomy before any intervention by means of Magnetic resonance cholangiopancreatography (MRCP) or intraoperative cholangiography. Â

Item Type: Article
Uncontrolled Keywords: anatomical abnormality,biliary tract injury,Child,Laparoscopic cholecystectomy
Subjects: WO Surgery
WS Pediatrics
QY Clinical Pathology
Divisions: Journals > International J Pediatrics
Depositing User: IJP IJP
Date Deposited: 12 Oct 2019 11:21
Last Modified: 12 Oct 2019 11:21
URI: http://eprints.mums.ac.ir/id/eprint/12216

Actions (login required)

View Item View Item