Case Report of Stented Hepaticojejunostomy in Iatrogenic Bile Duct Injury

A 49-year woman presented with jaundice 10 weeks following an open cholecystectomy, during which she experienced obstructive jaundice attributed to clip ligation at the confluence of the common hepatic duct.To address this complicated bile duct injury, surgical dissection and exploration of the common bile duct tract were performed.The obstructive clip was successfully removed, and a T-tube was placed to facilitate drainage through the anastomosis.Additionally, a stented hepaticojejunostomy was constructed to ensure proper bile flow.The T-tube remained in place for four weeks, during which the output gradually decreased to a minimal level of 5-10 ml.After confirming that the output was minimal, the T-tube was clamped and subsequently removed.The patient experienced a complete recovery following the procedure.

Publication Details

Journal
Journal of College of Physicians And Surgeons Pakistan
Published
2025-01-01
DOI
https://doi.org/10.29271/jcpspcr.2025.248
Primary Topic
Biliary and Gastrointestinal Fistulas
Type
article
Field-Weighted Citation Impact
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article

Case Report of Stented Hepaticojejunostomy in Iatrogenic Bile Duct Injury

Journal of College of Physicians And Surgeons Pakistan
Biliary and Gastrointestinal Fistulas
article

Case Report of Stented Hepaticojejunostomy in Iatrogenic Bile Duct Injury

article en

Abstract

A 49-year woman presented with jaundice 10 weeks following an open cholecystectomy, during which she experienced obstructive jaundice attributed to clip ligation at the confluence of the common hepatic duct.To address this complicated bile duct injury, surgical dissection and exploration of the common bile duct tract were performed.The obstructive clip was successfully removed, and a T-tube was placed to facilitate drainage through the anastomosis.Additionally, a stented hepaticojejunostomy was constructed to ensure proper bile flow.The T-tube remained in place for four weeks, during which the output gradually decreased to a minimal level of 5-10 ml.After confirming that the output was minimal, the T-tube was clamped and subsequently removed.The patient experienced a complete recovery following the procedure.

Journal of College of Physicians And Surgeons Pakistan
Openalex Percentile: Top 75%
Biliary and Gastrointestinal Fistulas
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