Abstract
A 56-year-old female patient was transferred to our unit because of biliary leakage after a converted laparoscopic cholecystectomy. It was her fifth postoperative day; patient had a productive drain of more than 700 cc bile per day, she was treated with broad spectrum antibiotics, and had a gastric tube for enteral feeding. An ERCP were performed showing a proximal and complete lesion of the hepatic duct was seen (type D BDI) with an insufficiently drained subhepatic collection. A PTC drain was placed to properly drain the collection. After a period of 6 weeks her general condition improved. At laparotomy a biliodigestive Roux-en-Y anastomosis was performed.
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Booij KAC, Gouma DJ, van Gulik TM, Busch ORC. Prevention and treatment of major complications after cholecystectomy. In Cuesta MA and HJ Bonjer, editors. Treatment of complications after Digestive Surgery. Chapter 12 a. Springer, London 2013.
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© 2014 Springer International Publishing Switzerland
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Cuesta, M.A. (2014). Case on Hepatic Abscess After Double Lesion (CBD and Right Hepatic Artery) During Cholecystectomy. In: Cuesta, M., Bonjer, H. (eds) Case Studies of Postoperative Complications after Digestive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-01613-9_32
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DOI: https://doi.org/10.1007/978-3-319-01613-9_32
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