title: An unusual cause of bilioenteric anastomotic dysfunction after iatrogenic bile duct injury.
abstract: 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.
authors.affiliation: Department of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico. mercadiazma@yahoo.com
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Mercado
authors.forename: Daniel
authors.initials: D
authors.lastname: Borja-Cacho
authors.forename: Ismael
authors.initials: I
authors.lastname: Domínguez
authors.forename: Eduardo Carrillo
authors.initials: EC
authors.lastname: Maravilla
authors.forename: Norberto
authors.initials: N
authors.lastname: Sánchez
authors.forename: Eli
authors.initials: E
authors.lastname: Zavaleta-Martínez
authors.forename: Arturo
authors.initials: A
authors.lastname: Ramírez-Muciño
authors.forename: Alexandra
authors.initials: A
authors.lastname: Barajas-Olivas
authors.forename: Ricardo
authors.initials: R
authors.lastname: Arceo-Olaiz
mesh_terms: 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