Painless Obstructive Jaundice Secondary to a Common Bile Duct Abscess: A Delayed Sequela of Cholecystectomy
نویسندگان
چکیده
Complications related to cholecystectomy are well described. Most occur in the early postoperative period and are recognised either at the time of, or shortly after surgery. Clinical sequelae occurring years following cholecystectomy are rare and infrequently reported. In addition, most delayed complications are related to the continuing presence or new formation of gallstones. In this paper we present a unique case of an abscess of the common bile duct wall, presenting with painless obstructive jaundice more than 30 years following an open cholecystectomy, without the presence of gallstones. The clinical presentation, investigations, and treatment are discussed with a review of other relevant reported cases in the literature.
منابع مشابه
Jaundice Due to Extrabiliary Gallstones
OBJECTIVE Cholecystectomy is one of the most common general surgical procedures performed today. The laparoscopic approach is beneficial to patients in terms of length of stay, postoperative pain, return to work, and cosmesis. Some drawbacks are associated with the minimal access form of cholecystectomy, including an increased incidence of common bile duct injuries. In addition, when the gallbl...
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Spontaneous perforation of gallbladder as a complication of biliary stones may lead to a cholecystocutaneous abscess or fistula. The pathophysiology of this condition has been associated with increased pressure in the gallbladder, secondary to biliary obstruction. Ultrasonography and Computed Tomography (CT) can be used for diagnosis of cholecystocutaneous abscess or fistula. The treatment of f...
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CALCULI in the common bile duct are extremely common. Although such stones are overlooked at operation in only about 5 per cent of cases, the frequency of gall stone surgery means that there are many patients with retained stones.' Stones may rarely form within the biliary system after cholecystectomy. Removal of retained or reformed stones is important because of their morbid potential-cholang...
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ورودعنوان ژورنال:
دوره 2009 شماره
صفحات -
تاریخ انتشار 2009