Portobiliary fistula following laparoscopic cholecystectomy.
The laparoscopic approach has replaced open surgery as the gold standard for cholecystectomy. This technique is, however, associated with a greater incidence of bile duct injuries (BDIs). We report a case of portobiliary fistula (PBF), a rare complication of BDI, occurring post laparoscopic cholecystectomy (LC). PBF has been reported after procedures such as endoscopic retrograde cholangiopancreatography and pathologies such as liver abscesses, but only once previously in the setting of LC. We discuss the management of this patient with apparent dual pathology, and summarise other aetiologies that may give rise to this condition.
Hammersmith Hospital, Imperial College London , London , UK.
B
B
Merrick
Hammersmith Hospital, Imperial College London , London , UK.
D
D
Yue
Hammersmith Hospital, Imperial College London , London , UK.
M H
MH
Sodergren
Hammersmith Hospital, Imperial College London , London , UK.
L R
LR
Jiao
D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011169:Portal Vein / Q000293:injuries; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology*
Bile ducts; Fistula; Laparoscopic cholecystectomy