Abstract
We describe an unusual case of a laparoscopic common bile duct (CBD) injury that presented with cholangitis 2 years after an apparently uneventful laparoscopic cholecystectomy. Preoperative ultrasound and endoscopic retrograde cholangiography suggested choledocholithiasis, showing proximal and intrahepatic duct dilatation with an inability to relieve the obstruction. At surgery, a lateral injury of the CBD wall with partial wall loss was found, adherent to an amorphous pigmented mass with the appearance of a knitted fabric causing CBD obstruction. The CBD was successfully reconstructed with a Roux-en-Y end-to-side hepaticojejunostomy, where the end of the Roux loop was anastomosed to the lateral CBD defect.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
Author information
Authors and Affiliations
Additional information
Correspondence to: A. J. Karayiannakis
Rights and permissions
About this article
Cite this article
Karayiannakis, A., Polychronidis, A. & Simopoulos, C. An unusual cause of delayed presentation of laparoscopic common bile duct injury. Surg Endosc 17, 157 (2003). https://doi.org/10.1007/s00464-002-4244-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-002-4244-2