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KMID : 1143920190230010084
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Annals of Hepato-Biliary-Pancreatic Surgery
2019 Volume.23 No. 1 p.84 ~ p.86
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Intraoperatively malpositioned stent as a complication of common bile duct injury during laparoscopic cholecystectomy
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Ozdemir Timur
Schmitt Anne
Cesaretti Manuela
Le Bian Alban Zarzavadjian
Jiao Long R.
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Abstract
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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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KEYWORD
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Cholecystectomy, Laparoscopic cholecystectomy, Bile duct injury, Malpositioned biliary stent, Laparoscopy
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