Surgical treatment for iatrogenic biliary stricture with severe abdominal infection
10.3760/cma.j.issn.1673-9752.2012.05.013
- VernacularTitle:复杂损伤性胆管狭窄的治疗
- Author:
Zhilei CHENG
;
Jing WANG
- Publication Type:Journal Article
- Keywords:
Biliary strictures;
Biliary injury,iatrogenic;
Surgical procedures,operative
- From:
Chinese Journal of Digestive Surgery
2012;11(5):444-447
- CountryChina
- Language:Chinese
-
Abstract:
Biliary stricture after cholecystectomy poses difficult management problems to surgeons because of high and stable incidence.In contrast to malignant stricture,benign stricture requires durable repair.Repeated operations may not only increase the suffering of the patient,but also reduce the likelihood of a better outcome. A 56-year-old woman with biliary stricture after cholecystectomy who had undergone several operations in other hospitals was admitted to Chinese PLA General Hospital.Computed tomography (CT) scan showed a dilated biliary tree and localized the level of ductal obstruction in the hepatic hilar stricture.In addition,CT identified fluid collections in the left upper quadrant and no artery injury was detected. Ultrasound-guided percutaneous abdominal drainage was performed to control the abdominal infection. Magnetic resonance cholangiopancreatography classified the injury as Bismuth Ⅲ.The patient with bile leakage and severe abdominal infection was treated with antibiotics before the final operation.On June 1,2012,the patient received Roux-en-Y hepaticojejunostomy.After operation,the patient recovered smoothly without severe complications,such as bile leakage,cholangitis and recurrent stricture.Liver function of the patient was back to normal and T tube drainage was pulled out at the end of 3 months of follow up.
