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CC BY 4.0 · Journal of Digestive Endoscopy 2024; 15(02): 147-149
DOI: 10.1055/s-0044-1787127
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Laparoscopic Cholecystectomy-Induced Complex Common Bile Duct Injury: Will Rescue ERCP Help?

Amol Vadgaonkar
1   Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India
,
Sanil Parekh
1   Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India
,
Nagesh Kamat 
1   Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India
,
Gaurav Patil 
1   Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India
,
Ankit Dalal 
1   Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India
,
Sehajad Vora
1   Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India
,
Swara Pendse
1   Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India
,
Amit Maydeo 
1   Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India
› Author Affiliations Funding None.
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Abstract

A 33-year-old woman presented for laparoscopic cholecystectomy (LC)-induced accidental transection of the common bile duct at the level of confluence and common hepatic duct cutoff (E5–Bismuth type 5 injury) along with transected indwelling biliary stent hanging in the right posterior duct (RPD). At endoscopic retrograde cholangiopancreatography (ERCP), the distal fragment was removed. The RPD stent was cannulated across and retrieved, followed by three plastic stents in the right and left hepatic duct. Prompt referral of a bile duct injury during LC to a specialized center with timely ERCP saved the day and averted the need for surgical intervention.

Keywords

adverse event - CBD injury - ERCP - laparoscopic cholecystectomy

Patient Consent

Patient's written consent was obtained for the publication of the case details.




Publication History

Article published online:
31 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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