Bile Duct Injuries

Bile Duct Injuries BILE DUCT INJURIES Cholecystectomy (Lap cholecystectomy associated with higher % of injuries) [lap cholecystectomy – upper 3rd  injured, open cholecystectomy – middle 3rdinjured] Instrumentation(ERCP, Choledoscope) Anatomical variations Surgeons inexperience Local pathology: Acute inflammation, Shrunken gall bladder, Mirrizi syndrome, Moynihans hump  Clinical features: Presenting with abdominal pain, distension, cholangitis, sepsis, ileus, jaundice, excessive bile from drain – think […]