Modi Ma, Deolekar Ss, Gvalani Ak
Department of General Surgery, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Parel, Mumbai 400012, India.
Case Rep Surg. 2014;2014:398545. doi: 10.1155/2014/398545. Epub 2014 Oct 21.
Duodenal injury following laparoscopic cholecystectomy is rare complications with catastrophic sequelae. Most injuries are attributed to thermal burns with electrocautery following adhesiolysis and have a delayed presentation requiring surgical intervention. We present a case of a 47-year-old gentleman operated on for laparoscopic cholecystectomy with a bilious drain postoperatively; for which an ERC was done showing choledocholithiasis with cystic duct stump blow-out and a drain in the duodenum suggestive of an iatrogenic duodenal injury. He was managed conservatively like a duodenal fistula and recovered without undergoing any intervention.
腹腔镜胆囊切除术后十二指肠损伤是一种罕见的并发症,会导致灾难性后果。大多数损伤是由于粘连松解后电灼造成的热灼伤,且表现延迟,需要手术干预。我们报告一例47岁男性患者,接受了腹腔镜胆囊切除术,术后留置胆汁引流管;为此进行了内镜逆行胰胆管造影(ERC),显示胆总管结石伴胆囊管残端破裂,十二指肠内有引流管,提示医源性十二指肠损伤。他接受了类似十二指肠瘘的保守治疗,未进行任何干预即康复。