Embolization of an incomplete isolated right segmental hepatic duct injury (incomplete IRSHDI)-A case report
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...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322010743 |
| _version_ | 1811176134516146176 |
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| author | Gernot Rott, MD Frieder Boecker, MD |
| author_facet | Gernot Rott, MD Frieder Boecker, MD |
| author_sort | Gernot Rott, MD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T19:47:15Z |
| format | Article |
| id | doaj.art-4f5ed83b5fd84f06bed29f2e47b94437 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T19:47:15Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-4f5ed83b5fd84f06bed29f2e47b944372023-01-29T04:20:16ZengElsevierRadiology Case Reports1930-04332023-03-0118311561160Embolization of an incomplete isolated right segmental hepatic duct injury (incomplete IRSHDI)-A case reportGernot Rott, MD0Frieder Boecker, MD1Department of Radiology, Bethesda-Hospital, Heerstr. 219, Duisburg, 47053, Germany; Corresponding author.Institute of Clinical Radiology, Lukas-Hospital, Neuss, GermanyIatrogenic 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.http://www.sciencedirect.com/science/article/pii/S1930043322010743Bile duct injuryIsolated right segmental or sectoral hepatic duct injurySubvesical bile ductEmbolization |
| spellingShingle | Gernot Rott, MD Frieder Boecker, MD Embolization of an incomplete isolated right segmental hepatic duct injury (incomplete IRSHDI)-A case report Radiology Case Reports Bile duct injury Isolated right segmental or sectoral hepatic duct injury Subvesical bile duct Embolization |
| title | Embolization of an incomplete isolated right segmental hepatic duct injury (incomplete IRSHDI)-A case report |
| title_full | Embolization of an incomplete isolated right segmental hepatic duct injury (incomplete IRSHDI)-A case report |
| title_fullStr | Embolization of an incomplete isolated right segmental hepatic duct injury (incomplete IRSHDI)-A case report |
| title_full_unstemmed | Embolization of an incomplete isolated right segmental hepatic duct injury (incomplete IRSHDI)-A case report |
| title_short | Embolization of an incomplete isolated right segmental hepatic duct injury (incomplete IRSHDI)-A case report |
| title_sort | embolization of an incomplete isolated right segmental hepatic duct injury incomplete irshdi a case report |
| topic | Bile duct injury Isolated right segmental or sectoral hepatic duct injury Subvesical bile duct Embolization |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322010743 |
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