Biliary-colonic fistula caused by cholecystectomy bile duct injury.
Biliary-colonic fistula is a rare complication after laparoscopic cholecystectomy. We present a case of post-cholecystectomy iatrogenic biliary injury that resulted in a fistula between the common hepatic duct and large bowel. Magnetic resonance cholangiopancreatography provided good visualization of injury even with concurrent normal level of alkaline phosphatase. Radiologic findings and surgical management of this condition are discussed in detail.
Dewitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine and Ryder Trauma Center/Jackson Memorial Hospital, Miami, Florida, USA.
Francisco Igor B
FI
Macedo
Victor J
VJ
Casillas
James S
JS
Davis
Joe U
JU
Levi
Danny
D
Sleeman
D001652:Bile Ducts / Q000293:injuries; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D049448:Cholangiopancreatography, Magnetic Resonance; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003137:Common Bile Duct Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D011859:Radiography