Surgical Management of a Complex High Hepatic Duct Injury: A Case Report
Audrey Brecher, Grace E Trello, Jordan Perkins, Chintalapati Varma, Mustafa Nazzal
TL;DR
A patient's laparoscopic cholecystectomy was complicated by a high hepatic duct injury, requiring a complex surgical repair using Kasai portoenterostomy.
Contribution
Demonstrates the utility of Kasai portoenterostomy for repairing high hepatic duct injuries when other options are not viable.
Findings
A high common hepatic duct injury occurred during laparoscopic cholecystectomy.
Kasai portoenterostomy was used successfully for surgical repair.
Early recognition of such injuries is crucial for effective management.
Abstract
This is a case of a patient who underwent an elective laparoscopic cholecystectomy after previously presenting with acute cholecystitis. His operation was complicated by a high common hepatic duct (CHD) injury requiring complex surgical repair. This case highlights the importance of the early recognition of this type of injury and the utility of a Kasai portoenterostomy as an operative repair in high CHD injuries in the absence of an extrahepatic duct viable for repair.
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Taxonomy
TopicsGallbladder and Bile Duct Disorders · Abdominal Trauma and Injuries · Congenital Anomalies and Fetal Surgery