Table of Contents
HPB Surgery
Volume 8, Issue 2, Pages 101-105
http://dx.doi.org/10.1155/1994/14936

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

1Departments of Radiology, Duke University Medical Center, Durham 27710, North Carolina, USA
2Departments of Medicine, Duke University Medical Center, Durham 27710, North Carolina, USA
3Departments of Surgery, Duke University Medical Center, Durham 27710, North Carolina, USA

Copyright © 1994 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 after first opacifying the system with contrast injection through a nasobiliary tube. It is now twenty six months after initial percutaneous biliary drainage placement and eighteen months after removal of all biliary access. The patient is asymptomatic and has normal liver function tests. This technique can be useful in morbidly obese patients who are at increased risk from surgical repair of biliary duct injuries.