The right posterior segmental duct (RPSD) draining into the cystic duct is exceedingly rare. Ligation of the cystic duct in proximity to the junction of an aberrant right hepatic duct after a cholecystectomy can lead to life threatening complications. The present case study reveals a severed anomalous RPSD and subsequent Roux-en-Y hepaticojejunostomy procedure employed to fix biliary anomaly.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11145206PMC
http://dx.doi.org/10.1016/j.radcr.2024.04.068DOI Listing

Publication Analysis

Top Keywords

roux-en-y hepaticojejunostomy
8
cystic duct
8
access reattachment
4
reattachment biliary
4
biliary tree
4
tree anomaly
4
anomaly roux-en-y
4
hepaticojejunostomy case
4
case report
4
report posterior
4

Similar Publications

Purpose Of The Study: improving the surgical treatment of biliary pancreatitis by using a universal retractor and improved methods of omentobursostomy with drainage of the omental bursa.

Study Design: Non-randomized controlled clinical trial Material and methods: This study included thirty-nine patients who underwent surgical procedures between October 2022 and September 2023 in Semey, located in the Abay region. The study examined the general characteristics of surgical interventions performed for acute biliary pancreatitis using our proposed treatment methods and devices to improve the outcomes of acute biliary pancreatitis.

View Article and Find Full Text PDF

Recurrent cholangitis, intrahepatic stones and biliary and anastomotic strictures are common complications after Roux-en-Y hepaticojejunostomy. The surgically altered anatomy makes management of these complications with endoscopic retrograde cholangiopancreatography technically difficult. We present a case of recurrent cholangitis in a 25-year-old woman with a prior hepaticojejunostomy.

View Article and Find Full Text PDF

Performing a pancreaticoduodenectomy (PD) in patients having undergone a Roux-en-Y gastric bypass (RNYGB) poses a significant surgical challenge. We present a patient with a history of RNYGB and endoscopic ultrasound-directed transgastric ERCP (EDGE) procedure who underwent a successful PD. This 77-year-old female with history of open RNYBG presented with resectable pancreatic adenocarcinoma.

View Article and Find Full Text PDF

Objectives: Choledochal cyst excision (CDCE) with hepaticojejunostomy is standard of care in choledochal cysts. Complications related to inadequate healing of distal stump like post-operative pancreatic fistula (POPF) and bleeds have not been addressed in literature. We report two decade experience with these complications following CDCE.

View Article and Find Full Text PDF
Article Synopsis
  • This study evaluated the use of motorized spiral enteroscopy (MSE) for performing biliary endoscopic retrograde cholangiopancreatography (ERCP) in patients with altered surgical anatomy at five centers in Europe.
  • Out of 89 enrolled patients, MSE-assisted ERCP had a technical success rate of 54%, while adverse events occurred in 14% of cases, including one serious incident of esophageal perforation.
  • The study was halted in July 2023 due to safety concerns after the MSE device was withdrawn by the manufacturer, indicating potential risks associated with the procedure.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!