Management of an Accessory Bile Duct Injury after Laparoscopic Cholecystectomy: A Case Report

Pierre Jean Aurelus, Marco Salazar Domínguez and José Raúl Vázquez Langle

Hospital de Pediatría Centro Médico Nacional Siglo XXI, Mexico

^*Correspondance to: Pierre Jean Aurelus 

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Abstract:

Background: Bile duct injury is a severe and potentially life–threatening complication of laparoscopic cholecystectomy and the most difficult to resolve if there is an accessory bile duct. This is a complex problem, where inadequate reconstruction has an impact on the quality of life of patients. Some series have reported a 0.5% to 1.4% incidence of bile duct injury during laparoscopic cholecystectomy. The aim of this case was to analyze the presentation, characteristics and treatment results of an infant with an accessory bile duct injury after a laparoscopic cholecystectomy.Case
Presentation: A child of 13-year-old, male patient was referred to our center (Centro Medico Nacional Siglo XXI: IMSS) for the management of cholelithiasis by laparoscopic cholecystectomy. In his medical history, he had diffused abdominal pain while 2 years ago, ultrasound (US) that revealed cholelithiasis (at least ten gallstone of different diameter 0.5 to 1cm), and an elective laparoscopic cholecystectomy was performed. Ten days after, he presented a bile duct injury that we had been repaired by PDS 6-0 and ferulization.Conclusion: The cholelithiasis is not so frequently in infant and in child pathology, it is important to evaluate hilar stricture to exclude the possibility of an accessory bile duct by a magnetic resonance cholangiography (MRC) before the procedure. When we have involvement in the possibility of bile duct injuries is better realized an abdominal scan and try to repair the bile duct by PDS 6-O by using a catheter like ferulization in the first time before realized the Roux- en-Y choledocojejunostomy.

Keywords:

Accessory bile duct-biliary tract injury; Laparoscopic cholecystectomy; Choledocojejunostomy

Cite the Article:

Aurelus PJ, Dom�nguez MS, Langle JRV. Management of an Accessory Bile Duct Injury after Laparoscopic Cholecystectomy: A Case Report. Ann Clin Case Rep. 2016; 1: 1189.