Endobiliary clip migration after left hepatectomy: a surprising cause of postoperative biliary fistula - 08/04/26
, Antoine Guilloux b, Chetana Lim a, Eric Savier a
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
A 67-year-old male underwent a laparoscopic left hepatectomy with hepatic pedicle lymphadenectomy and cholecystectomy for a cholangiocarcinoma located in segment 3. The left bile duct was sectioned during parenchymal transection between 10mm Hem-o-lok® clips. Postoperative course was uneventful until post-operative day (POD) 5, when a biliary fistula appeared through the surgical drain following a transient peak of bilirubin (total/conjugated = 45/38 μM) mimicking choledochal migration. Biliary MRI at POD 13 revealed a leak from the left hepatic duct. Endoscopic ultrasound at POD 24 revealed material in the common bile duct (CBD). Following sphincterotomy, Hem-o-lok® clips were extracted from the CBD, including one measuring 10 mm long. A plastic stent was placed to cover the fistula, which resolved 5 days later. This is the first description of Hem-o-lok® clip migration from the left hepatic bile duct into the CBD, resulting in postoperative biliary fistula.
Le texte complet de cet article est disponible en PDF.Keywords : Left hepatectomy, Clip migration, Biliary fistula
Plan
| The authors ensure this is an entirely original work. This article has not been published or submitted elsewhere. |
Vol 21
Article 100252- 2026 Retour au numéro
Article précédent
- Unexpected onset of jejunal diverticulitis in the immediate postoperative period after laparoscopic crural hernia repair
- Soukayna Bourabaa, Antoine Notte
- Perforated jejunal diverticulitis complicated by mesenteric abscess: An unusual surgical emergency
- Salah Haddad, Rany Elaifia, Mustpha Doukali, Majd Makhbouch, Oussama Baraket, Sami Bouchoucha, Dorsaf Nouri
Bienvenue sur EM-consulte, la référence des professionnels de santé.