Embolization of an incomplete isolated right segmental hepatic duct injury (incomplete IRSHDI)-A case report.
Radiol Case Rep
; 18(3): 1156-1160, 2023 Mar.
Article
en En
| MEDLINE
| ID: mdl-36660564
ABSTRACT
Iatrogenic bile duct injuries remain a substantial problem in gastrointestinal surgery, especially if discovered later in the postoperative period. Herein, we report a case of an unusual bile leak following laparoscopic cholecystectomy consisting of an isolated right segmental hepatic duct injury of segment 5 together with an additional bile leak of a small duct connecting the gallbladder fossa with the common bile duct. We call this situation an incomplete isolated right segmental hepatic duct injury. Patient presented with infected biloma 2 weeks after laparoscopic cholecystectomy. After percutaneous drainage of the biloma and antibiotic therapy the complex biliary fistula was closed first with coil embolization of the small connection to the common bile duct and then with both antegrade and retrograde histoacryl embolization of the hereby created complete isolated right segmental hepatic duct injury in a single session. Patient was discharged the same day and recovered without complication or recurrence.
Texto completo:
1
Colección:
01-internacional
Idioma:
En
Revista:
Radiol Case Rep
Año:
2023
Tipo del documento:
Article
País de afiliación:
Alemania