Endoscopic Treatment of Biliary Fistula Post- Laparoscopic Cholecystectomy - Case Report

نویسندگان

  • PAULA PERUZZI
  • MAURO TEIXEIRA
  • CORREIA DA SILVA
  • MIGUEL DE MIRANDA GONÇALVES
چکیده

Objective: To report a case of biliary fistula after a non responsive surgical surgical treatment, which was successfully treated endoscopically by ERCP with a biliary stent. Case Report: 48 year-old female patient was submitted to a laparoscopic cholecystectomy due to gallstones, after surgery the patient developed jaundice and choliperitoneum. She was submitted to a conventional open abdominal surgery twice without success in closing the biliary fistula. An ERCP was performed with the insertion of a biliary endoprosthesis which permitted the definitive treatment of the lesion. Discussion: Injuries of the biliary tract can occur as a complication of laparoscopic cholecystectomy. New endoscopic approaches allow less invasive treatments of those injuries; therefore, postponing or even avoiding surgical treatment.

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تاریخ انتشار 2009