Complicación post-colecistectomía laparoscópica: reporte de caso de fuga biliar asociada a variación anatómica
Date
Subject
complicaciones postoperatorias
variación anatómica
colangiopancreatografía retrógrada endoscópica
conductos biliares extrahepáticos
colecistectomía laparoscópica
anatomical variation
endoscopic retrograde cholangiopancreatography
extrahepatic bile ducts
laparoscopic cholecystectomy
postoperative complications
variación anatómica
colangiopancreatografía retrógrada endoscópica
conductos biliares extrahepáticos
colecistectomía laparoscópica
anatomical variation
endoscopic retrograde cholangiopancreatography
extrahepatic bile ducts
laparoscopic cholecystectomy
postoperative complications
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Problema:
La fuga biliar es una complicación postoperatoria poco común de las intervenciones del cuadrante superior derecho y se relaciona con variaciones anatómicas del árbol biliar.
Caso clínico:
Se presenta una paciente con fuga biliar tras colecistectomía laparoscópica, donde la resonancia magnética colangiográfica reveló una variante anatómica 3C. El manejo incluyó colangiopancreatografía retrógrada endoscópica con colocación de prótesis biliar.
Hallazgos:
Destacamos la importancia de la evaluación preoperatoria de la anatomía biliar para prevenir complicaciones.
Conclusión:
La complicación quirúrgica se debió a una variación anatómica muy poco común. Sin embargo, se necesitan más estudios sobre el uso de imágenes avanzadas para mejorar la seguridad quirúrgica y reducir costos asociados a complicaciones
Problem: Biliary leak is an uncommon postoperative complication of right upper quadrant interventions and is related to anatomical variations of the biliary tree. Case Report: We present a patient with a biliary leak after laparoscopic cholecystectomy, where cholangiographic MRI revealed a 3C anatomical variant. Management included endoscopic retrograde cholangiopancreatography with biliary prosthesis placement. Findings: We emphasize the importance of preoperative evaluation of the biliary anatomy to prevent complications. Conclusion: The surgical complication was due to a very rare anatomical variation. However, more studies are needed on using advanced imaging to improve surgical safety and reduce costs associated with complications.
Problem: Biliary leak is an uncommon postoperative complication of right upper quadrant interventions and is related to anatomical variations of the biliary tree. Case Report: We present a patient with a biliary leak after laparoscopic cholecystectomy, where cholangiographic MRI revealed a 3C anatomical variant. Management included endoscopic retrograde cholangiopancreatography with biliary prosthesis placement. Findings: We emphasize the importance of preoperative evaluation of the biliary anatomy to prevent complications. Conclusion: The surgical complication was due to a very rare anatomical variation. However, more studies are needed on using advanced imaging to improve surgical safety and reduce costs associated with complications.
Description
Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol. 9 No. 2 (2025): Science and Health, april-june; 83-89
Ciencia y Salud; Vol. 9 Núm. 2 (2025): Ciencia y Salud, abril-junio; 83-89
2613-8824
2613-8816
10.22206/cisa.2025.v9i2
Ciencia y Salud; Vol. 9 Núm. 2 (2025): Ciencia y Salud, abril-junio; 83-89
2613-8824
2613-8816
10.22206/cisa.2025.v9i2