Ligated common hepatic duct during laparoscopic cholecystectomy
Diagnosis almost certain
Presentation
Obstructive jaundice five days following laparoscopic cholecystectomy.
Patient Data
Age: 20 years
Gender: Female
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There is a well-defined horizontal abrupt arrest of the biliary tree at the level of the biliary confluence causing moderate dilatation of the upstream intra-hepatic biliary ducts.
A linear material is seen at the same level in keeping with a surgical clip.
Case Discussion
History of laparoscopic cholecystectomy. Clinical presentation and MRI findings are reflective of a Strasberg type E (Bismuth-Corlette type 4) bile duct injury/ligation.
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