Intraoperative cholangiography for the diagnosis of a surgical lesion of the main bile duct

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Miguel Ángel Aranda Wildberger
Dennis Guzmán Cabral Melgarejo

Abstract

A 38 year old patient with a diagnosis of recurrent biliary colic, it was decided to perform a laparoscopic cholecystectomy. Perivesicular inflammatory tissue of easy blood loss is observed, the cystic artery is identified and clipping is performed without complications, the cystic duct is observed short and thick, and when clipping and sectioning it, bile is observed coming out through two previously unidentified tubular structures, both ducts are successfully catheterized and an intraoperative cholangiography is performed.

Article Details

How to Cite
1.
Aranda Wildberger M Ángel, Cabral Melgarejo DG. Intraoperative cholangiography for the diagnosis of a surgical lesion of the main bile duct. Rev. Nac. (Itauguá) [Internet]. 2023 Oct. 9 [cited 2024 Oct. 31];15(1):092-4. Available from: https://revistadelnacional.com.py/index.php/inicio/article/view/103
Section
Imágenes en medicina

References

Pekolj J, Drago J. Controversias en lesiones quirúrgicas de la vía biliar. Rol de la video laparoscopia en el manejo de lesiones quirúrgicas de la vía biliar. Cir. Esp. 2020;98(2):61-63.

Alvarez FA, de Santibañes M, Palavecino M, Sánchez Clariá R, Mazza O, et al. Impact of routine intraoperative cholangiography during laparoscopic cholecystectomy on bile duct injury. Br J Surg. 2014;101(6): 677–684. doi:10.1002/bjs.9486

Chiche L, Letoublon C. Tratamiento de las complicaciones de la colecistectomía. EMC - Técnicas Quirúrgicas - Aparato Digestivo. 2010;26(4), 1–21. doi:10.1016/s1282-9129(10)70113-6