A case of bismuth intoxication following the intraoral use of BIPP-impregnated gauze packs is presented. This report illustrates the need for caution when using potentially toxic compounds in the oral cavity where significant quantities can be absorbed to produce symptoms of poisoning.
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Identification and Management of Bile Duct Injuries.
Surg Clin North Am
December 2024
Division of Surgical Oncology and Hepatobiliary Surgery, William N. Pennington Cancer Institute, Renown Health, 1500 East 2nd Street, Suite 300, Reno, NV 89502, USA.
Injury to the biliary system can be a major problem leading to significant morbidity for the patient. This most commonly occurs due to iatrogenic causes and identification as early as possible is critical to maximizing the patient outcome. The timing of identification will dictate the optimal time for repair, and this should be undertaken at a facility with hepatobiliary surgery expertise as well as advanced gastroenterology and interventional radiology services.
View Article and Find Full Text PDFHepatico-Duodenal Fistula Following Iatrogenic Strasberg Type E4 Bile Duct Injury: A Case Report.
Medicina (Kaunas)
September 2023
Department of Urology and General Medicine, Medical Faculty, Medical University of Plovdiv, 6000 Plovdiv, Bulgaria.
Introduction: Gallstone disease (GSD) is among the most common disorders worldwide. Gallstones are established in up to 15% of the general population. Laparoscopic cholecystectomy (LC) has become the "gold standard" for treatment of GSD but is associated with a higher rate of certain complications, namely, bile duct injury (BDI).
View Article and Find Full Text PDF[The comparison between endoscopic and surgical treatment of delayed iatrogenic bile duct injury by propensity score matching].
Zhonghua Wai Ke Za Zhi
October 2023
The First School of Clinical Medicine,Lanzhou University; Department of General Surgery and Surgical Endoscopy Center, the First Hospital of Lanzhou University; Institute of Hepatobiliary and Pancreatic Surgery of Gansu Province; Key Laboratory Biotherapy and Regenerative Medicine of Gansu Province,Lanzhou 730030,China.
To compare the safety and clinical efficacy of endoscopic and surgical treatment of patients with delayed iatrogenic bile duct injury (DBDI) with severity (SG) grade 1 to 2. The clinical data of 129 patients with SG grade 1 to 2 DBDI who received endoscopic or surgical treatment in the First Hospital of Lanzhou University from November 2007 to November 2021 were retrospectively collected. There were 46 males and 83 females,aged ((IQR)) 54(22)years(range: 21 to 82 years).
View Article and Find Full Text PDFA Novel End-to-End Biliary-to-Biliary Anastomosis Technique for Iatrogenic Bile Duct Injury of Strasberg-Bismuth E1-4 Treatment: A Retrospective Study and Assessment.
Front Surg
October 2021
Department of Hepatobiliary Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
An iatrogenic bile duct injury (IBDI) is a severe complication that has a great impact on the physical and mental quality of life of the patients, especially for patients with postoperative benign biliary stricture. The effective measures for end-to-end biliary-to-biliary anastomosis intraoperative are essential to prevent the postoperative bile duct stricture, but also a challenge even to the most skilled biliary tract surgeon. A postoperative benign biliary stricture is an extremely intractable complication that occurs following IBDI.
View Article and Find Full Text PDFAdvanced hepatic vasculobiliary imaging segmentation and 3D reconstruction as an aid in the surgical management of high biliary stenosis.
BMC Med Imaging
October 2020
Medical Imaging Department, Coimbra University Hospital Center, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
Background: Three-dimensional (3D) models are increasingly used to help surgeons, guiding them through the complex hepatic vasculobiliary anatomy. The biliary tract is a relatively untapped territory with only a few case reports described in medical literature. Our aim is to present an innovative 3D reconstruction methodology for biliary imaging and surgical planning, applied to a case of iatrogenic biliary stricture, with fusion of segmented CT and MRI images.
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