Successful treatment of a high-level bile duct injury with a collaboration of a surgeon and an interventional radiologist: an unusual case


Perek S., DURGUN A. V. , Akinci O., PEREK A., Cantasdemir M.

CHIRURGIA-ITALY, cilt.34, sa.2, ss.93-96, 2021 (ESCI İndekslerine Giren Dergi) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Konu: 2
  • Basım Tarihi: 2021
  • Doi Numarası: 10.23736/s0394-9508.20.05117-7
  • Dergi Adı: CHIRURGIA-ITALY
  • Sayfa Sayıları: ss.93-96

Özet

Iatrogenic bile duct injuries are still a diagnostic and therapeutic problem and their incidence increased with the introduction of laparoscopic cholecystectomy. This case report documents a patient who developed high-level bile duct injury due to laparoscopic cholecystectomy performed in another center and underwent an extraordinary repair that did not have a chance of positive outcome. This irrational reconstruction with panis and desperation made the patient's condition more complicated, but thanks to the cooperation of a general surgeon and an interventional radiologist, successful management was performed and a good outcome was achieved in the long term. For this reason, in case of high-level bile duct injury, surgeons should avoid spontaneous decisions and attempts, focus on the most appropriate option for the patient, and should transfer the patient to a reference center without delay and any other intervention.