Endoscopic treatment of transected Common Bile Duct continuity using Single Operator Cholangioscopy

Abstract Text A 70-year-old woman underwent open cholecystectomy. The day after surgery biliary leakage from Jackson-Pratt drainage was observed. She was referred to our center for ERCP.During ERCP, cholangiography showed complete common bile duct transection (Strasberg type E injury) with extravasation of contrast medium in peritoneal cavity. Single operator cholangioscopy (SOC) showed semicircunferential dehiscence of common bile duct 2 cm from biliary confluence. Under direct visualisation a guidewire was placed into the left intrahepatic bile duct and a plastic stent (8.5 Fr×12 cm) was placed to bridge the defect. CT scan showed no biliary collection or dilatation of intrahepatic bile ducts 2 days after procedure. Patient was discharged without complications 5 days after ERCP. SOC is effective for management of completely transected bile duct.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/fedf646e-2dbe-4222-a083-f6ec6bc2f8d6/Uploads/16849_SOC_CHD-1.mp4

Conflicts of Interest

Authors do not have any conflict of interest to disclose.

Publication History

Article published online:
27 March 2025