Management of Biloma due to Biliary Tract Injury after Laparoscopic Cholecystectomy in a patient with Atypical Anatomy: A Case Report | ||
| Journal of Pediatric Perspectives | ||
| مقاله 3، دوره 7، شماره 8 - شماره پیاپی 68، آبان 2019، صفحه 9799-9802 اصل مقاله (361.67 K) | ||
| شناسه دیجیتال (DOI): 10.22038/ijp.2019.39693.3380 | ||
| نویسندگان | ||
| Ahmad Mohammadipour1؛ Shiva Ghaderifar2؛ Marjan Joodi1؛ Saeedeh Majidi3؛ Mohammad Mahdi Khazravi* 3 | ||
| 1Department of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran. | ||
| 2Master of Science in Environmental Health Engineering, Mashhad University of Medical Sciences, Mashhad, Iran. | ||
| 3Fellowship of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran. | ||
| چکیده | ||
| Introduction: Biliary tract injury is a major complication of laparoscopic cholecystectomywhich can be very challenging. But, the important part is to know the accurate anatomy of the ducts and site of the injury before any surgical attempt for ligation or repair. In this case a disaster might happen if we do not consider biliary anatomical abnormality as the main issue. Case Report In this case, there was an additional duct originating from the right hepatic lobe and inserting directly to the common bile duct (CBD) along with the right hepatic duct. The injury to this branch led to biloma secretion from two tearing sites, one proximal to the branch and another distal of the branch adjacent to CBD, during laparoscopic cholecystectomy. Conclusion There are numerous anatomic variations in the biliary tract, so according to this case we highly recommend to assay the exact anatomy before any intervention by means of Magnetic resonance cholangiopancreatography (MRCP) or intraoperative cholangiography. | ||
| کلیدواژهها | ||
| Anatomical Abnormality؛ Biliary tract injury؛ Child؛ Laparoscopic cholecystectomy | ||
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