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2024-03-28T18:36:00+01:00webmedcentral logo
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http://www.webmedcentral.com/images/Header_Logo.giftext/html2010-12-10T19:36:35+01:00http://www.webmedcentral.com/Dr. Karthikeyan SelvarajuA Rare Complication Of Laparoscopic Cholecystectomy - Hepatic Artery Pseudoaneurysm
http://www.webmedcentral.com/article_view/1304
Laparoscopic cholecystectomy is the treatment of choice for symptomatic cholelithiasis. Despite its many advantages when compared to open procedure, there is an increase in the incidence of 0.3%-1.0% [1, 2] of biliary and vascular injuries. Hepatic artery pseudoaneurysm is a rare but serious complication associated with laparoscopic cholecystectomy and bile duct injury. Most reported arterial complications are due to direct injury or diathermy shortening on surgical clips[3]. Hepatic artery pseudoaneurysm (HAP) associated with bile leak, biloma and infection are rarely reported. Here we present a rare but life threatening complication of laparoscopic cholecystectomy, their possible causes and the methods of preventing this complication.text/html2012-01-25T19:53:11+01:00http://www.webmedcentral.com/Dr. Wilfredo Jr. T PolidoCholedochal Cyst in an Adult: Congenital or an Acquired Clinical Entity?
http://www.webmedcentral.com/article_view/2920
Cystic dilation of biliary ducts, otherwise known as choledochal cyst, is an uncommon condition frequently present in infancy and childhood but increasingly diagnosed in adults. Until now, no unifying etiologic theory exists for choledochal cysts, but most literature would conclude they are congenital bile duct anomalies. This report discusses choledochal cyst in a 50-year-old female post-laparoscopic cholecystectomy who had previous cholangiogram that would prove its non-existence and emphasizes the possibility of acquired causes. On this second admission, a type IVa choledochal cyst was identified by MRCP and patient subsequently underwent left hepatic lobectomy with en-bloc resection of extrahepatic ducts, reconstructed with a roux-en-y hepaticojejunostomy. Histopathologic findings were consistent with choledochal cyst and post-operative course was unremarkable.text/html2013-01-01T11:22:26+01:00http://www.webmedcentral.com/Dr. Karthikeyan SelvarajuLate Complications of Spilled Gallstones During Laparoscopic Cholecystectomy
http://www.webmedcentral.com/article_view/3877
Laparoscopic cholecystectomy(LC) has become the preferred treatment for patients with symptomatic gallstones. During laparoscopic cholecystectomy, perforation of the gallbladder can occurs in approximately 20% of cases, while gallstone spillage occurs in approximately 6% of cases. Finding and removing all of the spilled gallstones can be time consuming and is often difficult. In most cases, there are no consequences of spilled gall stones. These unretrieved gallstones can lead to the formation of an abscess, abdominal wall mass, or a persistent sinus. Herein we report a case of intraperitoneal abscess and persistent sinus of the abdominal wall after an emergent laparoscopic cholecystectomy in an 63 year old man with an acute cholecystitis and perforation of the friable wall while retrieving gallbladder specimen through the port. This case report highlights the possible rare long term complications of spilled gallstones following laparoscopic cholecystectomy and various measures to prevent it .