Successful combined transpapillary and transmural management of a large biloma and bile duct injury: A case report and review of literature

被引：0

作者：

Nayak, Hemanta Kumar ^{[1
]}

Saraswat, Vivek Anand ^{[1
]}

Mohindra, Samir ^{[1
]}

Sharma, Atul ^{[1
]}

Ghoshal, Uday C. ^{[1
]}

机构：

[1] Sanjay Gandhi Post Grad Inst Med Sci, Dept Gastroenterol, C Block, Lucknow 226014, Uttar Pradesh, India

来源：

JOURNAL OF DIGESTIVE ENDOSCOPY | 2015年 / 6卷 / 03期

关键词：

Bile duct injury; biliary stricture; biloma;

D O I：

10.4103/0976-5042.165710

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Here, we report a patient with bile duct injury (BDI) following open cholecystectomy, who developed a very large biloma, causing duodenal and biliary obstruction, and also had a biliary stricture at the site of BDI. We successfully managed the patient by endoscopic biloma-gastrostomy with biliary stenting that resulted in resolution of the biloma and aggressive endoscopic management of the biliary stricture with stent bundles till resolution. Pertaining this case to be the one with largest biloma in the literature (approximately 6.5 L), which developed following open cholecystectomy that resulted in biliary stricture following injury to BD. We successfully managed the patient by endoscopic biloma-gastric stenting and an aggressive endoscopic management of biliary stricture.

引用

页码：119 / 122

页数：4

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