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Pediatric Gastroenterology, Hepatology & Nutrition ; : 281-285, 2016.
Article Dans Anglais | WPRIM | ID: wpr-190322

Résumé

Laparoscopic cholecystectomy, though an uncommon surgical procedure in paediatric age group is still associated with a higher risk of post-operative bile duct injuries when compared with the open procedure. Small leaks from extra hepatic biliary apparatus usually lead to the formation of a localized sub-hepatic bile collection, also known as biloma. Such leaks are rare complication after laparoscopic cholecystectomy, especially in paediatric age group. Minor bile leaks can usually be managed non-surgically by percutaneous drainage combined with endoscopic retrograde cholangio-pancreatography (ERCP). However, surgical exploration is required in cases not responding to non-operative management. If not managed on time, such injuries can lead to severe hepatic damage. We describe a case of an eight-year-old girl who presented with biloma formation after laparoscopic cholecystectomy who was managed by ERCP.


Sujets)
Enfant , Femelle , Humains , Bile , Conduits biliaires , Cholangiopancréatographie rétrograde endoscopique , Cholécystectomie , Cholécystectomie laparoscopique , Drainage , Endoprothèses
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