Nepoznané poranění segmentálního žlučovodu po cholecystektomii vyžadující pravostrannou hemihepatektomii

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60162694%3AG44__%2F07%3A00001827" target="_blank" >RIV/60162694:G44__/07:00001827 - isvavai.cz</a>

Výsledek na webu

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DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Unrecognized post cholecystectomy segmental hepatic duct injury requiring right hemihepatectomy

Popis výsledku v původním jazyce

Background: Segmental right hepatic duct entering the cystic duct is an extremely rare anatomical variation of the biliary tree. Its transection during surgery can cause persistent intra-abdominal biliary leak. Methods:We report a case of a 74-year old woman who underwent open cholecystectomy for symptomatic cholecystolithiasis. Fatigue and fever appeared postoperatively. Abdominal ultrasonography revealed a subhepatic fluid collection. Biliary tree dilatation was not observed. Results: Percutaneous drainage and fistulography identified biliary injury of the segmental right hepatic duct. The ERCP clarified the localization of the injury. The segmental hepatic duct draining liver segments VI and VII was transected and entered directly into subhepatic abscess. Laparotomy confirmed the diagnosis. The right-sided hepatic duct for posterolateral liver segments entered hepatic abscess in the area of gallbladder bed. The hepatico-jejunostomy seemed to be unsafe and so the right hemihepatectom

Název v anglickém jazyce

Unrecognized post cholecystectomy segmental hepatic duct injury requiring right hemihepatectomy

Popis výsledku anglicky

Background: Segmental right hepatic duct entering the cystic duct is an extremely rare anatomical variation of the biliary tree. Its transection during surgery can cause persistent intra-abdominal biliary leak. Methods:We report a case of a 74-year old woman who underwent open cholecystectomy for symptomatic cholecystolithiasis. Fatigue and fever appeared postoperatively. Abdominal ultrasonography revealed a subhepatic fluid collection. Biliary tree dilatation was not observed. Results: Percutaneous drainage and fistulography identified biliary injury of the segmental right hepatic duct. The ERCP clarified the localization of the injury. The segmental hepatic duct draining liver segments VI and VII was transected and entered directly into subhepatic abscess. Laparotomy confirmed the diagnosis. The right-sided hepatic duct for posterolateral liver segments entered hepatic abscess in the area of gallbladder bed. The hepatico-jejunostomy seemed to be unsafe and so the right hemihepatectom

Druh

J_x - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)

CEP obor

FJ - Chirurgie včetně transplantologie

OECD FORD obor

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Projekt

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Návaznosti

Z - Vyzkumny zamer (s odkazem do CEZ)

Rok uplatnění

2007

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

European Surgery

ISSN

1682-8631

e-ISSN

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Svazek periodika

39

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

AT - Rakouská republika

Počet stran výsledku

3

Strana od-do

311-313

Kód UT WoS článku

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EID výsledku v databázi Scopus

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