Complete Surgical Transection of the Common Bile Duct: Combined EUS and ERCP Approach
ESGE Days 2021Endoscopy(2021)
Abstract
Complete transection of the common bile duct is a severe complication of hepatobiliary surgery, clasically treated surgically. Endoscopic ultrasonography-guided rendezvous (EUS-RV) has been used as a bridge to surgery or definitive treatment. A 36-year-old woman presented with jaundice, fever and biliary leak after laparoscopic cholecystectomy. In ERCP a complete transection of the common bile duct is found. After unsuccessful retrograde attempts to access the intrahepatic bile duct, EUS-RV is completed and recanalization of the extrahepatic bile duct is achieved with placement of a fully covered metallic stent. The patient’s jaundice resolved and remains assymptomatic six months after discharge.
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Key words
common bile duct
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