Hepp Couinaud laparoscópica para el tratamiento de la enfermedad de Caroli: reporte de caso
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Subject
Caroli disease
surgery
video laparoscopy
Hepp Couinaud biliodigestive bypass
enfermedad de Caroli
cirugía
videolaparoscopia
bypass biliodigestivo de Hepp Couinaud
surgery
video laparoscopy
Hepp Couinaud biliodigestive bypass
enfermedad de Caroli
cirugía
videolaparoscopia
bypass biliodigestivo de Hepp Couinaud
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Volume Title
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Intituto Tecnológico de Santo Domingo (INTEC)
La enfermedad de Caroli es un raro trastorno congénito que consiste en una dilatación de las vías biliares intrahepáticas. Su tratamiento definitivo debe consistir en resección hepática por la enfermedad localizada.
Este artículo describe un caso de enfermedad de Caroli en una paciente de sexo femenino de 60 años de edad, quien presentó ictericia y dolor abdominal difuso. Exámenes posteriores sugirieron el diagnóstico de enfermedad de Caroli asociada con síndrome colestásico. Los médicos decidieron realizar un bypass biliodigestivo de Hepp Couinaud mediante videolaparoscopia con reconstrucción en Y de Roux. No hubo complicaciones inmediatas ni complicaciones a largo plazo después de 6 meses de seguimiento. El bypass biliodigestivo VLP en pacientes con síndromes colestásicos asociados debe considerarse un tratamiento previo a un abordaje más agresivo.
Caroli disease is a rare congenital disorder characterized by dilatation of intrahepatic bile ducts. The treatment could correspond to hepatic resection for localized disease. This paper describes a case of Caroli’s disease in a 60 years old female patient, who presented jaundice and diffuse abdominal pain. Further examinations suggested the diagnosis of Caroli disease associated with cholestatic syndrome. We decided to perform a Hepp Couinaud biliodigestive bypass by video laparoscopy with Roux-en-Y reconstruction. There were no immediate complications and no longterm complications after 6 months of follow-up. The VLP biliodigestive bypass in patients with associated cholestatic syndromes should be considered a treatment prior to a more aggressive approach.
Caroli disease is a rare congenital disorder characterized by dilatation of intrahepatic bile ducts. The treatment could correspond to hepatic resection for localized disease. This paper describes a case of Caroli’s disease in a 60 years old female patient, who presented jaundice and diffuse abdominal pain. Further examinations suggested the diagnosis of Caroli disease associated with cholestatic syndrome. We decided to perform a Hepp Couinaud biliodigestive bypass by video laparoscopy with Roux-en-Y reconstruction. There were no immediate complications and no longterm complications after 6 months of follow-up. The VLP biliodigestive bypass in patients with associated cholestatic syndromes should be considered a treatment prior to a more aggressive approach.
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info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
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Science and Health; Vol. 7 No. 2 (2023): Science and Health, April-June; 79-83
Ciencia y Salud; Vol. 7 Núm. 2 (2023): Ciencia y Salud, abril-junio; 79-83
2613-8824
2613-8816
10.22206/cysa.2023.v7i2
Ciencia y Salud; Vol. 7 Núm. 2 (2023): Ciencia y Salud, abril-junio; 79-83
2613-8824
2613-8816
10.22206/cysa.2023.v7i2