Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report

Abstract Background Biliary system anatomical abnormalities can be preoperatively detected on magnetic resonance imaging; therefore, some presume that the number of bile duct injuries should decline. However, once a bile duct injury occurs, repair may be difficult. There are various ways to repair b...
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Autor*in:	Hideki Izumi [verfasserIn] Hisamichi Yoshii [verfasserIn] Daiki Yokoyama [verfasserIn] Shuji Uda [verfasserIn] Rin Abe [verfasserIn] Masaya Mukai [verfasserIn] Eiji Nomura [verfasserIn] Hiroyuki Ito [verfasserIn] Takahiko Mine [verfasserIn] Tomohiro Matsumoto [verfasserIn] Terumitsu Hasebe [verfasserIn] Hiroyasu Makuuchi [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	Bile duct injury Internal bile duct drainage Pancreaticoduodenectomy

Übergeordnetes Werk:	In: Journal of Medical Case Reports - BMC, 2010, 12(2018), 1, Seite 5
Übergeordnetes Werk:	volume:12 ; year:2018 ; number:1 ; pages:5

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s13256-018-1699-7

Katalog-ID:	DOAJ024114901

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520			\|a Abstract Background Biliary system anatomical abnormalities can be preoperatively detected on magnetic resonance imaging; therefore, some presume that the number of bile duct injuries should decline. However, once a bile duct injury occurs, repair may be difficult. There are various ways to repair bile duct injuries, but successful repair may be exceptionally difficult. Case presentation A 72-year-old Japanese man underwent a pancreaticoduodenectomy due to a diagnosis of middle bile duct cancer. We had a complication of an isolated posterior segmental biliary obstruction when pancreaticoduodenectomy was performed. We conducted a drip infusion cholecystocholangiography-computed tomography test to determine the positional relationship between his bile duct and elevated jejunum. To secure the bile duct we punctured the bile duct under computed tomography guidance, and the hepaticojejunal anastomosis site was visualized by inserting an endoscope. We vibrated the bile duct wall by inserting a guide wire through a puncture needle and verified the vibrations with the endoscope. We observed a partially compressed elevated jejunal wall upon guide wire insertion; therefore, we could verify a puncture needle penetration into the elevated jejunum by endoscope on insertion. We also successfully inserted an 8.5-Fr pigtail catheter into the elevated jejunum. We removed all drains after percutaneously inserting an uncovered metallic stent. Our patient’s subsequent clinical course was unremarkable. He visits our institution as an out-patient and has had no stent occlusion even after 6 months. Conclusions When repairing bile duct injuries, it is important to accurately determine the positional relationships between the injured bile duct and the surrounding organs.
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allfields	10.1186/s13256-018-1699-7 doi (DE-627)DOAJ024114901 (DE-599)DOAJ96b9d3d188fd44f4aa8f6115d5695b31 DE-627 ger DE-627 rakwb eng Hideki Izumi verfasserin aut Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Biliary system anatomical abnormalities can be preoperatively detected on magnetic resonance imaging; therefore, some presume that the number of bile duct injuries should decline. However, once a bile duct injury occurs, repair may be difficult. There are various ways to repair bile duct injuries, but successful repair may be exceptionally difficult. Case presentation A 72-year-old Japanese man underwent a pancreaticoduodenectomy due to a diagnosis of middle bile duct cancer. We had a complication of an isolated posterior segmental biliary obstruction when pancreaticoduodenectomy was performed. We conducted a drip infusion cholecystocholangiography-computed tomography test to determine the positional relationship between his bile duct and elevated jejunum. To secure the bile duct we punctured the bile duct under computed tomography guidance, and the hepaticojejunal anastomosis site was visualized by inserting an endoscope. We vibrated the bile duct wall by inserting a guide wire through a puncture needle and verified the vibrations with the endoscope. We observed a partially compressed elevated jejunal wall upon guide wire insertion; therefore, we could verify a puncture needle penetration into the elevated jejunum by endoscope on insertion. We also successfully inserted an 8.5-Fr pigtail catheter into the elevated jejunum. We removed all drains after percutaneously inserting an uncovered metallic stent. Our patient’s subsequent clinical course was unremarkable. He visits our institution as an out-patient and has had no stent occlusion even after 6 months. Conclusions When repairing bile duct injuries, it is important to accurately determine the positional relationships between the injured bile duct and the surrounding organs. Bile duct injury Internal bile duct drainage Pancreaticoduodenectomy Medicine R Hisamichi Yoshii verfasserin aut Daiki Yokoyama verfasserin aut Shuji Uda verfasserin aut Rin Abe verfasserin aut Masaya Mukai verfasserin aut Eiji Nomura verfasserin aut Hiroyuki Ito verfasserin aut Takahiko Mine verfasserin aut Tomohiro Matsumoto verfasserin aut Terumitsu Hasebe verfasserin aut Hiroyasu Makuuchi verfasserin aut In Journal of Medical Case Reports BMC, 2010 12(2018), 1, Seite 5 (DE-627)524231389 (DE-600)2269805-X 17521947 nnns volume:12 year:2018 number:1 pages:5 https://doi.org/10.1186/s13256-018-1699-7 kostenfrei https://doaj.org/article/96b9d3d188fd44f4aa8f6115d5695b31 kostenfrei http://link.springer.com/article/10.1186/s13256-018-1699-7 kostenfrei https://doaj.org/toc/1752-1947 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2018 1 5
spelling	10.1186/s13256-018-1699-7 doi (DE-627)DOAJ024114901 (DE-599)DOAJ96b9d3d188fd44f4aa8f6115d5695b31 DE-627 ger DE-627 rakwb eng Hideki Izumi verfasserin aut Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Biliary system anatomical abnormalities can be preoperatively detected on magnetic resonance imaging; therefore, some presume that the number of bile duct injuries should decline. However, once a bile duct injury occurs, repair may be difficult. There are various ways to repair bile duct injuries, but successful repair may be exceptionally difficult. Case presentation A 72-year-old Japanese man underwent a pancreaticoduodenectomy due to a diagnosis of middle bile duct cancer. We had a complication of an isolated posterior segmental biliary obstruction when pancreaticoduodenectomy was performed. We conducted a drip infusion cholecystocholangiography-computed tomography test to determine the positional relationship between his bile duct and elevated jejunum. To secure the bile duct we punctured the bile duct under computed tomography guidance, and the hepaticojejunal anastomosis site was visualized by inserting an endoscope. We vibrated the bile duct wall by inserting a guide wire through a puncture needle and verified the vibrations with the endoscope. We observed a partially compressed elevated jejunal wall upon guide wire insertion; therefore, we could verify a puncture needle penetration into the elevated jejunum by endoscope on insertion. We also successfully inserted an 8.5-Fr pigtail catheter into the elevated jejunum. We removed all drains after percutaneously inserting an uncovered metallic stent. Our patient’s subsequent clinical course was unremarkable. He visits our institution as an out-patient and has had no stent occlusion even after 6 months. Conclusions When repairing bile duct injuries, it is important to accurately determine the positional relationships between the injured bile duct and the surrounding organs. Bile duct injury Internal bile duct drainage Pancreaticoduodenectomy Medicine R Hisamichi Yoshii verfasserin aut Daiki Yokoyama verfasserin aut Shuji Uda verfasserin aut Rin Abe verfasserin aut Masaya Mukai verfasserin aut Eiji Nomura verfasserin aut Hiroyuki Ito verfasserin aut Takahiko Mine verfasserin aut Tomohiro Matsumoto verfasserin aut Terumitsu Hasebe verfasserin aut Hiroyasu Makuuchi verfasserin aut In Journal of Medical Case Reports BMC, 2010 12(2018), 1, Seite 5 (DE-627)524231389 (DE-600)2269805-X 17521947 nnns volume:12 year:2018 number:1 pages:5 https://doi.org/10.1186/s13256-018-1699-7 kostenfrei https://doaj.org/article/96b9d3d188fd44f4aa8f6115d5695b31 kostenfrei http://link.springer.com/article/10.1186/s13256-018-1699-7 kostenfrei https://doaj.org/toc/1752-1947 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2018 1 5
allfields_unstemmed	10.1186/s13256-018-1699-7 doi (DE-627)DOAJ024114901 (DE-599)DOAJ96b9d3d188fd44f4aa8f6115d5695b31 DE-627 ger DE-627 rakwb eng Hideki Izumi verfasserin aut Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Biliary system anatomical abnormalities can be preoperatively detected on magnetic resonance imaging; therefore, some presume that the number of bile duct injuries should decline. However, once a bile duct injury occurs, repair may be difficult. There are various ways to repair bile duct injuries, but successful repair may be exceptionally difficult. Case presentation A 72-year-old Japanese man underwent a pancreaticoduodenectomy due to a diagnosis of middle bile duct cancer. We had a complication of an isolated posterior segmental biliary obstruction when pancreaticoduodenectomy was performed. We conducted a drip infusion cholecystocholangiography-computed tomography test to determine the positional relationship between his bile duct and elevated jejunum. To secure the bile duct we punctured the bile duct under computed tomography guidance, and the hepaticojejunal anastomosis site was visualized by inserting an endoscope. We vibrated the bile duct wall by inserting a guide wire through a puncture needle and verified the vibrations with the endoscope. We observed a partially compressed elevated jejunal wall upon guide wire insertion; therefore, we could verify a puncture needle penetration into the elevated jejunum by endoscope on insertion. We also successfully inserted an 8.5-Fr pigtail catheter into the elevated jejunum. We removed all drains after percutaneously inserting an uncovered metallic stent. Our patient’s subsequent clinical course was unremarkable. He visits our institution as an out-patient and has had no stent occlusion even after 6 months. Conclusions When repairing bile duct injuries, it is important to accurately determine the positional relationships between the injured bile duct and the surrounding organs. Bile duct injury Internal bile duct drainage Pancreaticoduodenectomy Medicine R Hisamichi Yoshii verfasserin aut Daiki Yokoyama verfasserin aut Shuji Uda verfasserin aut Rin Abe verfasserin aut Masaya Mukai verfasserin aut Eiji Nomura verfasserin aut Hiroyuki Ito verfasserin aut Takahiko Mine verfasserin aut Tomohiro Matsumoto verfasserin aut Terumitsu Hasebe verfasserin aut Hiroyasu Makuuchi verfasserin aut In Journal of Medical Case Reports BMC, 2010 12(2018), 1, Seite 5 (DE-627)524231389 (DE-600)2269805-X 17521947 nnns volume:12 year:2018 number:1 pages:5 https://doi.org/10.1186/s13256-018-1699-7 kostenfrei https://doaj.org/article/96b9d3d188fd44f4aa8f6115d5695b31 kostenfrei http://link.springer.com/article/10.1186/s13256-018-1699-7 kostenfrei https://doaj.org/toc/1752-1947 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2018 1 5
allfieldsGer	10.1186/s13256-018-1699-7 doi (DE-627)DOAJ024114901 (DE-599)DOAJ96b9d3d188fd44f4aa8f6115d5695b31 DE-627 ger DE-627 rakwb eng Hideki Izumi verfasserin aut Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Biliary system anatomical abnormalities can be preoperatively detected on magnetic resonance imaging; therefore, some presume that the number of bile duct injuries should decline. However, once a bile duct injury occurs, repair may be difficult. There are various ways to repair bile duct injuries, but successful repair may be exceptionally difficult. Case presentation A 72-year-old Japanese man underwent a pancreaticoduodenectomy due to a diagnosis of middle bile duct cancer. We had a complication of an isolated posterior segmental biliary obstruction when pancreaticoduodenectomy was performed. We conducted a drip infusion cholecystocholangiography-computed tomography test to determine the positional relationship between his bile duct and elevated jejunum. To secure the bile duct we punctured the bile duct under computed tomography guidance, and the hepaticojejunal anastomosis site was visualized by inserting an endoscope. We vibrated the bile duct wall by inserting a guide wire through a puncture needle and verified the vibrations with the endoscope. We observed a partially compressed elevated jejunal wall upon guide wire insertion; therefore, we could verify a puncture needle penetration into the elevated jejunum by endoscope on insertion. We also successfully inserted an 8.5-Fr pigtail catheter into the elevated jejunum. We removed all drains after percutaneously inserting an uncovered metallic stent. Our patient’s subsequent clinical course was unremarkable. He visits our institution as an out-patient and has had no stent occlusion even after 6 months. Conclusions When repairing bile duct injuries, it is important to accurately determine the positional relationships between the injured bile duct and the surrounding organs. Bile duct injury Internal bile duct drainage Pancreaticoduodenectomy Medicine R Hisamichi Yoshii verfasserin aut Daiki Yokoyama verfasserin aut Shuji Uda verfasserin aut Rin Abe verfasserin aut Masaya Mukai verfasserin aut Eiji Nomura verfasserin aut Hiroyuki Ito verfasserin aut Takahiko Mine verfasserin aut Tomohiro Matsumoto verfasserin aut Terumitsu Hasebe verfasserin aut Hiroyasu Makuuchi verfasserin aut In Journal of Medical Case Reports BMC, 2010 12(2018), 1, Seite 5 (DE-627)524231389 (DE-600)2269805-X 17521947 nnns volume:12 year:2018 number:1 pages:5 https://doi.org/10.1186/s13256-018-1699-7 kostenfrei https://doaj.org/article/96b9d3d188fd44f4aa8f6115d5695b31 kostenfrei http://link.springer.com/article/10.1186/s13256-018-1699-7 kostenfrei https://doaj.org/toc/1752-1947 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2018 1 5
allfieldsSound	10.1186/s13256-018-1699-7 doi (DE-627)DOAJ024114901 (DE-599)DOAJ96b9d3d188fd44f4aa8f6115d5695b31 DE-627 ger DE-627 rakwb eng Hideki Izumi verfasserin aut Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Biliary system anatomical abnormalities can be preoperatively detected on magnetic resonance imaging; therefore, some presume that the number of bile duct injuries should decline. However, once a bile duct injury occurs, repair may be difficult. There are various ways to repair bile duct injuries, but successful repair may be exceptionally difficult. Case presentation A 72-year-old Japanese man underwent a pancreaticoduodenectomy due to a diagnosis of middle bile duct cancer. We had a complication of an isolated posterior segmental biliary obstruction when pancreaticoduodenectomy was performed. We conducted a drip infusion cholecystocholangiography-computed tomography test to determine the positional relationship between his bile duct and elevated jejunum. To secure the bile duct we punctured the bile duct under computed tomography guidance, and the hepaticojejunal anastomosis site was visualized by inserting an endoscope. We vibrated the bile duct wall by inserting a guide wire through a puncture needle and verified the vibrations with the endoscope. We observed a partially compressed elevated jejunal wall upon guide wire insertion; therefore, we could verify a puncture needle penetration into the elevated jejunum by endoscope on insertion. We also successfully inserted an 8.5-Fr pigtail catheter into the elevated jejunum. We removed all drains after percutaneously inserting an uncovered metallic stent. Our patient’s subsequent clinical course was unremarkable. He visits our institution as an out-patient and has had no stent occlusion even after 6 months. Conclusions When repairing bile duct injuries, it is important to accurately determine the positional relationships between the injured bile duct and the surrounding organs. Bile duct injury Internal bile duct drainage Pancreaticoduodenectomy Medicine R Hisamichi Yoshii verfasserin aut Daiki Yokoyama verfasserin aut Shuji Uda verfasserin aut Rin Abe verfasserin aut Masaya Mukai verfasserin aut Eiji Nomura verfasserin aut Hiroyuki Ito verfasserin aut Takahiko Mine verfasserin aut Tomohiro Matsumoto verfasserin aut Terumitsu Hasebe verfasserin aut Hiroyasu Makuuchi verfasserin aut In Journal of Medical Case Reports BMC, 2010 12(2018), 1, Seite 5 (DE-627)524231389 (DE-600)2269805-X 17521947 nnns volume:12 year:2018 number:1 pages:5 https://doi.org/10.1186/s13256-018-1699-7 kostenfrei https://doaj.org/article/96b9d3d188fd44f4aa8f6115d5695b31 kostenfrei http://link.springer.com/article/10.1186/s13256-018-1699-7 kostenfrei https://doaj.org/toc/1752-1947 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2018 1 5
language	English
source	In Journal of Medical Case Reports 12(2018), 1, Seite 5 volume:12 year:2018 number:1 pages:5
sourceStr	In Journal of Medical Case Reports 12(2018), 1, Seite 5 volume:12 year:2018 number:1 pages:5
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Bile duct injury Internal bile duct drainage Pancreaticoduodenectomy Medicine R
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container_title	Journal of Medical Case Reports
authorswithroles_txt_mv	Hideki Izumi @@aut@@ Hisamichi Yoshii @@aut@@ Daiki Yokoyama @@aut@@ Shuji Uda @@aut@@ Rin Abe @@aut@@ Masaya Mukai @@aut@@ Eiji Nomura @@aut@@ Hiroyuki Ito @@aut@@ Takahiko Mine @@aut@@ Tomohiro Matsumoto @@aut@@ Terumitsu Hasebe @@aut@@ Hiroyasu Makuuchi @@aut@@
publishDateDaySort_date	2018-01-01T00:00:00Z
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author	Hideki Izumi
spellingShingle	Hideki Izumi misc Bile duct injury misc Internal bile duct drainage misc Pancreaticoduodenectomy misc Medicine misc R Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report
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topic_title	Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report Bile duct injury Internal bile duct drainage Pancreaticoduodenectomy
topic	misc Bile duct injury misc Internal bile duct drainage misc Pancreaticoduodenectomy misc Medicine misc R
topic_unstemmed	misc Bile duct injury misc Internal bile duct drainage misc Pancreaticoduodenectomy misc Medicine misc R
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title	Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report
ctrlnum	(DE-627)DOAJ024114901 (DE-599)DOAJ96b9d3d188fd44f4aa8f6115d5695b31
title_full	Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report
author_sort	Hideki Izumi
journal	Journal of Medical Case Reports
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author_browse	Hideki Izumi Hisamichi Yoshii Daiki Yokoyama Shuji Uda Rin Abe Masaya Mukai Eiji Nomura Hiroyuki Ito Takahiko Mine Tomohiro Matsumoto Terumitsu Hasebe Hiroyasu Makuuchi
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title_sort	internal biliary drainage for isolated posterior segmental biliary obstruction: a case report
title_auth	Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report
abstract	Abstract Background Biliary system anatomical abnormalities can be preoperatively detected on magnetic resonance imaging; therefore, some presume that the number of bile duct injuries should decline. However, once a bile duct injury occurs, repair may be difficult. There are various ways to repair bile duct injuries, but successful repair may be exceptionally difficult. Case presentation A 72-year-old Japanese man underwent a pancreaticoduodenectomy due to a diagnosis of middle bile duct cancer. We had a complication of an isolated posterior segmental biliary obstruction when pancreaticoduodenectomy was performed. We conducted a drip infusion cholecystocholangiography-computed tomography test to determine the positional relationship between his bile duct and elevated jejunum. To secure the bile duct we punctured the bile duct under computed tomography guidance, and the hepaticojejunal anastomosis site was visualized by inserting an endoscope. We vibrated the bile duct wall by inserting a guide wire through a puncture needle and verified the vibrations with the endoscope. We observed a partially compressed elevated jejunal wall upon guide wire insertion; therefore, we could verify a puncture needle penetration into the elevated jejunum by endoscope on insertion. We also successfully inserted an 8.5-Fr pigtail catheter into the elevated jejunum. We removed all drains after percutaneously inserting an uncovered metallic stent. Our patient’s subsequent clinical course was unremarkable. He visits our institution as an out-patient and has had no stent occlusion even after 6 months. Conclusions When repairing bile duct injuries, it is important to accurately determine the positional relationships between the injured bile duct and the surrounding organs.
abstractGer	Abstract Background Biliary system anatomical abnormalities can be preoperatively detected on magnetic resonance imaging; therefore, some presume that the number of bile duct injuries should decline. However, once a bile duct injury occurs, repair may be difficult. There are various ways to repair bile duct injuries, but successful repair may be exceptionally difficult. Case presentation A 72-year-old Japanese man underwent a pancreaticoduodenectomy due to a diagnosis of middle bile duct cancer. We had a complication of an isolated posterior segmental biliary obstruction when pancreaticoduodenectomy was performed. We conducted a drip infusion cholecystocholangiography-computed tomography test to determine the positional relationship between his bile duct and elevated jejunum. To secure the bile duct we punctured the bile duct under computed tomography guidance, and the hepaticojejunal anastomosis site was visualized by inserting an endoscope. We vibrated the bile duct wall by inserting a guide wire through a puncture needle and verified the vibrations with the endoscope. We observed a partially compressed elevated jejunal wall upon guide wire insertion; therefore, we could verify a puncture needle penetration into the elevated jejunum by endoscope on insertion. We also successfully inserted an 8.5-Fr pigtail catheter into the elevated jejunum. We removed all drains after percutaneously inserting an uncovered metallic stent. Our patient’s subsequent clinical course was unremarkable. He visits our institution as an out-patient and has had no stent occlusion even after 6 months. Conclusions When repairing bile duct injuries, it is important to accurately determine the positional relationships between the injured bile duct and the surrounding organs.
abstract_unstemmed	Abstract Background Biliary system anatomical abnormalities can be preoperatively detected on magnetic resonance imaging; therefore, some presume that the number of bile duct injuries should decline. However, once a bile duct injury occurs, repair may be difficult. There are various ways to repair bile duct injuries, but successful repair may be exceptionally difficult. Case presentation A 72-year-old Japanese man underwent a pancreaticoduodenectomy due to a diagnosis of middle bile duct cancer. We had a complication of an isolated posterior segmental biliary obstruction when pancreaticoduodenectomy was performed. We conducted a drip infusion cholecystocholangiography-computed tomography test to determine the positional relationship between his bile duct and elevated jejunum. To secure the bile duct we punctured the bile duct under computed tomography guidance, and the hepaticojejunal anastomosis site was visualized by inserting an endoscope. We vibrated the bile duct wall by inserting a guide wire through a puncture needle and verified the vibrations with the endoscope. We observed a partially compressed elevated jejunal wall upon guide wire insertion; therefore, we could verify a puncture needle penetration into the elevated jejunum by endoscope on insertion. We also successfully inserted an 8.5-Fr pigtail catheter into the elevated jejunum. We removed all drains after percutaneously inserting an uncovered metallic stent. Our patient’s subsequent clinical course was unremarkable. He visits our institution as an out-patient and has had no stent occlusion even after 6 months. Conclusions When repairing bile duct injuries, it is important to accurately determine the positional relationships between the injured bile duct and the surrounding organs.
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title_short	Internal biliary drainage for isolated posterior segmental biliary obstruction: a case report
url	https://doi.org/10.1186/s13256-018-1699-7 https://doaj.org/article/96b9d3d188fd44f4aa8f6115d5695b31 http://link.springer.com/article/10.1186/s13256-018-1699-7 https://doaj.org/toc/1752-1947
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author2	Hisamichi Yoshii Daiki Yokoyama Shuji Uda Rin Abe Masaya Mukai Eiji Nomura Hiroyuki Ito Takahiko Mine Tomohiro Matsumoto Terumitsu Hasebe Hiroyasu Makuuchi
author2Str	Hisamichi Yoshii Daiki Yokoyama Shuji Uda Rin Abe Masaya Mukai Eiji Nomura Hiroyuki Ito Takahiko Mine Tomohiro Matsumoto Terumitsu Hasebe Hiroyasu Makuuchi
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doi_str	10.1186/s13256-018-1699-7
up_date	2024-07-03T21:16:54.747Z
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