A CASE OF LUSCHKA DUCT INJURY REPAIRED INTRAOPERATIVELY TO AUDIO POSTOPERATIVE BILE LEAK

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  • 術中修復したLuschka管損傷の1例

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Abstract

An 84-year-old woman was admitted to the hospital because of right upper quadrant abdominal pain and jaundice. Abdominal CT scan, MRCP, and US detected the dilated gallbladder with multiple stones and bile duct obstruction of unknown origin. During endoscopy for ERCP, a coexisting duodenal ulcer was perforated that demanded emergency surgery. Following operative packing for the perforation with the omentum, an inspection proved that bile duct stones caused bile duct obstruction. After cholecys-tectomy and removal of bile duct stones intraoperative cholangiography showed bile leak from a hole of the gallbladder liver bed. It was diagnosed as injury of Luschka duct (one of aberrant biliary ducts) after further examinations. Closure of the hole resulted in the patient's uneventful postoperative cource.

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