About: Unrecognized post cholecystectomy segmental hepatic duct injury requiring right hemihepatectomy     Goto   Sponge   Distinct   Permalink

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Description
  • Background: Segmental right hepatic duct entering the cystic duct is an extremely rare anatomical variation of the biliary tree. Its transection during surgery can cause persistent intra-abdominal biliary leak. Methods:We report a case of a 74-year old woman who underwent open cholecystectomy for symptomatic cholecystolithiasis. Fatigue and fever appeared postoperatively. Abdominal ultrasonography revealed a subhepatic fluid collection. Biliary tree dilatation was not observed. Results: Percutaneous drainage and fistulography identified biliary injury of the segmental right hepatic duct. The ERCP clarified the localization of the injury. The segmental hepatic duct draining liver segments VI and VII was transected and entered directly into subhepatic abscess. Laparotomy confirmed the diagnosis. The right-sided hepatic duct for posterolateral liver segments entered hepatic abscess in the area of gallbladder bed. The hepatico-jejunostomy seemed to be unsafe and so the right hemihepatectomy was performed
  • Background: Segmental right hepatic duct entering the cystic duct is an extremely rare anatomical variation of the biliary tree. Its transection during surgery can cause persistent intra-abdominal biliary leak. Methods:We report a case of a 74-year old woman who underwent open cholecystectomy for symptomatic cholecystolithiasis. Fatigue and fever appeared postoperatively. Abdominal ultrasonography revealed a subhepatic fluid collection. Biliary tree dilatation was not observed. Results: Percutaneous drainage and fistulography identified biliary injury of the segmental right hepatic duct. The ERCP clarified the localization of the injury. The segmental hepatic duct draining liver segments VI and VII was transected and entered directly into subhepatic abscess. Laparotomy confirmed the diagnosis. The right-sided hepatic duct for posterolateral liver segments entered hepatic abscess in the area of gallbladder bed. The hepatico-jejunostomy seemed to be unsafe and so the right hemihepatectomy was performed (en)
  • Autoři prezentují zajímavý případ nepoznaného poranění segmentálního žlučovodu po cholecystektomii vyžadujícího pravostrannou hemihepatektomii (cs)
Title
  • Nepoznané poranění segmentálního žlučovodu po cholecystektomii vyžadující pravostrannou hemihepatektomii (cs)
  • Unrecognized post cholecystectomy segmental hepatic duct injury requiring right hemihepatectomy
  • Unrecognized post cholecystectomy segmental hepatic duct injury requiring right hemihepatectomy (en)
skos:prefLabel
  • Nepoznané poranění segmentálního žlučovodu po cholecystektomii vyžadující pravostrannou hemihepatektomii (cs)
  • Unrecognized post cholecystectomy segmental hepatic duct injury requiring right hemihepatectomy
  • Unrecognized post cholecystectomy segmental hepatic duct injury requiring right hemihepatectomy (en)
skos:notation
  • RIV/60162694:G44__/07:00001827!RIV08-MO0-G44_____
http://linked.open.../vavai/riv/strany
  • 311-313
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • Z(MO0FVZ0000503)
http://linked.open...iv/cisloPeriodika
  • 5
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 456680
http://linked.open...ai/riv/idVysledku
  • RIV/60162694:G44__/07:00001827
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Bile ducts injuries; surgery; cholecystectomy; hepatoctomy; reoperation (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • AT - Rakouská republika
http://linked.open...ontrolniKodProRIV
  • [D6C1B814D46F]
http://linked.open...i/riv/nazevZdroje
  • European Surgery
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 39
http://linked.open...iv/tvurceVysledku
  • Ferko, Alexander
  • Šubrt, Zdeněk
  • Jon, B.
  • Vacek, Z.
  • Papík, Z.
  • Leško, M.
http://linked.open...n/vavai/riv/zamer
issn
  • 1682-8631
number of pages
http://localhost/t...ganizacniJednotka
  • G44
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