Percutaneous hepaticojejunostomy with use of a metal stent for injury of the right hepatic duct after laparoscopic cholecystectomy.
Bile-duct injuries related to laparoscopic cholecystectomy may be complex and require a multidisciplinary approach. The authors report a case of a high hepatic duct injury treated surgically by a left hepaticojejunostomy and an ischemic right hepatic duct that could not be identified during the operation. The right hepatic lobe was subsequently drained radiologically by the percutaneous creation of a right hepaticojejunostomy, through and into a jejunal access loop, followed by deployment of a metallic stent. The patient remained well at 3-year follow-up.
Khalife
Mohamad
M
Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Mourad
Fadi H
FH
Al-Kutoubi
M Aghiad
MA
D000328:Adult; D019917:Blood Vessel Prosthesis Implantation; D002758:Cholangiography; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy; D011171:Portoenterostomy, Hepatic; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D012086:Reoperation; D015607:Stents