ISSN:
1436-2813
Keywords:
laparoscopic cholecystectomy
;
endo-clip migration
;
choledochoduodenal fistual
;
obstructive jaundice
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract We present herein the case of a woman who developed unexpected complications following a laparoscopic cholecystectomy. The clinical manifestations were unique in that symptoms of obstructive jaundice were in fact caused by endo-clips which had migrated into the common bile duct, and the resulting choledochoduodenal fistula presented as persistant cholangitis. While the overall safety of this new procedure appears to be superior to that of open cholecystectomy, the risk of bile duct injury seems more likely. This case stresses the need for caution by surgeons, and emphasizes the necessity for careful surveillance and strict follow-up to ensure the safety of this procedure.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02348568
Permalink