Biliary bypass for an "accessory" biliary duct. A case report.
A case of accessory biliary duct draining segments V and VI of the liver, accidentally injured during cholecystectomy and repaired by biliary-enteric anastomosis, is reported. An accessory bile duct may occur in 15-20% of these patients. Ligation or repair is always recommended depending on the size and volume of bile flow. Roux-en-Y loop reconstruction is to be preferred as it provides the best results with the lowest risk of leakage, stenosis and cholangitis.
Belli
G
G
Chirurgia Sperimentale e Trapianti d'Organo, II Facoltà di Medicina e Chirurgia, Università di Napoli.
D'Alessandro
V
V
Romano
G
G
Monaco
A
A
Santangelo
M L
ML
D000713:Anastomosis, Roux-en-Y; D001652:Bile Ducts / Q000002:abnormalities* / Q000293:injuries / Q000601:surgery; D002763:Cholecystectomy / Q000009:adverse effects; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged