Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis
https://doi.org/10.24884/0042-4625-2021-180-4-82-85
Abstract
A clinical case of surgical management of patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis is presented. The patient was 57 years old woman. Anamnesis of the disease: in 2016, biliodigestive anastomosis was performed due to iatrogenic damage of the biliary tract. She was admitted to the hospital with complaints of the right upper abdomen pain, accompanied by chills, jaundice, and fever up to 39°C. The examination revealed a stricture of a previously formed biliodigestive anastomosis complicated by multiple intrahepatic cholelithiasis. Surgical intervention was performed: at the first stage – percutaneous transhepatic cholangiostomy; at the second stage – laparotomy, separation of hepaticojejunoanastomosis, intraoperative cholangioscopy with lithoextraction, resection of a small bowel section with a Brownian anastomosis, post-colon hepaticojejunostomy on a disconnected loop and replaceable transhepatic drains (Smith-Praden-Saypol-Kurian).
About the Authors
A. Yu. Korolkov
Pavlov University
Russian Federation
Russian Federation
Korolkov Andrej Yu., Dr. of Sci. (Med.), Head of the Department of General and Emergency Surgery of the Research Institute of Surgery and Emergency Medicine
Saint Petersburg
D. N. Popov
Pavlov University
Russian Federation
Russian Federation
Popov Dmitry N., Surgeon of Surgical Department № 4 (Emergency Surgery)
Saint Petersburg
A. O. Tantsev
Pavlov University
Tantsev Alexey O., Surgeon of Surgical Department № 4 (Emergency Surgery)
Saint Petersburg
T. O. Nikitina
Pavlov University
Nikitina Tatyana O., Surgeon of Surgical Department № 4 (Emergency Surgery)
Saint Petersburg
S. F. Bagnenko
Pavlov University
Russian Federation
Russian Federation
Bagnenko Sergey F., Dr. of Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Rector
Saint Petersburg
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Review
For citations:
Korolkov A.Yu., Popov D.N., Tantsev A.O., Nikitina T.O., Bagnenko S.F. Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis. Grekov's Bulletin of Surgery. 2021;180(4):82-85. (In Russ.) https://doi.org/10.24884/0042-4625-2021-180-4-82-85
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