An unusual cause of bilioenteric anastomotic dysfunction after iatrogenic bile duct injury.
Roux en Y hepatojejunostomy is the surgery of choice for bile duct repair. Anastomotical dysfunction after reconstruction has several etiopathologies. Besides technical factors, ischemia of the duct is responsible for late obstruction. Bile colonization with secondary stones and sludge can also be identified as a cause. An unusual cause of anastomotical dysfunction secondary to ascaris biliary infestation after biliary reconstruction is reported herein. The patient had intermittent cholangitis and eosinophilia. At operation, the worm was found obstructing the anastomosis.
Mercado
Miguel Angel
MA
Department of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico. mercadiazma@yahoo.com
Borja-Cacho
Daniel
D
Domínguez
Ismael
I
Maravilla
Eduardo Carrillo
EC
Sánchez
Norberto
N
Zavaleta-Martínez
Eli
E
Ramírez-Muciño
Arturo
A
Barajas-Olivas
Alexandra
A
Arceo-Olaiz
Ricardo
R
D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D001196:Ascariasis / Q000150:complications / Q000601:surgery*; D001649:Bile Duct Diseases / Q000469:parasitology* / Q000601:surgery*; D001652:Bile Ducts / Q000293:injuries* / Q000469:parasitology / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D005260:Female; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects; D008875:Middle Aged