CASE REPORT   

Chirurgia 2021 April;34(2):93-6

DOI: 10.23736/S0394-9508.20.05117-7

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Successful treatment of a high-level bile duct injury with a collaboration of a surgeon and an interventional radiologist: an unusual case

Sadik PEREK ¹, Vedat DURGUN ¹ ✉, Ozan AKINCI ², Asiye PEREK ¹, Murat CANTAŞDEMIR ³

¹ Department of General Surgery, Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey; ² Department of General Surgery, Hakkari State Hospital, Hakkari, Turkey; ³ Department of Radiology, Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey

Iatrogenic bile duct injuries are still a diagnostic and therapeutic problem and their incidence increased with the introduction of laparoscopic cholecystectomy. This case report documents a patient who developed high-level bile duct injury due to laparoscopic cholecystectomy performed in another center and underwent an extraordinary repair that did not have a chance of positive outcome. This irrational reconstruction with panic and desperation made the patient’s condition more complicated, but thanks to the cooperation of a general surgeon and an interventional radiologist, successful management was performed and a good outcome was achieved in the long term. For this reason, in case of high-level bile duct injury, surgeons should avoid spontaneous decisions and attempts, focus on the most appropriate option for the patient, and should transfer the patient to a reference center without delay and any other intervention.

KEY WORDS: Cholecystectomy, laparoscopic; Bile ducts; Radiology, interventional