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Title: Pedicled omental patch as a bridging procedure for iatrogenic bile duct injury
Authors: Ng J.J.
Kow A.W.C. 
Keywords: Abdominal abscess
Bile ducts
Case reports
Endoscopic retrograde cholangiopancreatography
Issue Date: 28-Sep-2017
Publisher: Baishideng Publishing Group Co., Limited
Citation: Ng J.J., Kow A.W.C. (2017-09-28). Pedicled omental patch as a bridging procedure for iatrogenic bile duct injury. World Journal of Gastroenterology 23 (36) : 6741-6746. ScholarBank@NUS Repository.
Rights: Attribution-NonCommercial-NoDerivatives 4.0 International
Abstract: Iatrogenic bile duct injuries during cholecystectomy can present as fulminant intra-abdominal sepsis which precludes immediate repair or biliary reconstruction. We report the case of a 29-year-old female patient who sustained a bile duct injury after an open cholecystectomy in a neighboring country. She presented to our institution 22 d after initial surgery with septic shock and multiple intra-abdominal collections. Endoscopic retrograde cholangiography revealed a large common hepatic duct defect corresponding to a Strasberg type D bile duct injury. Definitive reconstruction such as a hepaticojejunostomy cannot be performed due to the presence of dense adhesions with infected and friable tissues. She underwent a combination of endoscopic biliary stenting and pedicled omental patch repair of the bile duct to control bile leak and sepsis as a bridging procedure to definite hepaticojejunostomy three months later. � The Author(s) 2017.
Source Title: World Journal of Gastroenterology
ISSN: 10079327
DOI: 10.3748/wjg.v23.i36.6741
Rights: Attribution-NonCommercial-NoDerivatives 4.0 International
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