Non-Operative Management of a Common Bile Duct Injury Sustained During Cholecystectomy in a Morbidly Obese Patient. (Non-Operative Repair of CBD Injury)

摘要

A 29 year old morbidly obese patient suffered injury to his common bile duct during cholecystectomy.Subsequent access to the biliary tree was obtained by using a long heavy gauge needle afterfirst opacifying the system with contrast injection through a nasobiliary tube. It is now twenty sixmonths after initial percutaneous biliary drainage placement and eighteen months after removalof all biliary access. The patient is asymptomatic and has normal liver function tests. Thistechnique can be useful in morbidly obese patients who are at increased risk from surgical repairof biliary duct injuries.