Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2020; 8(16): 3567-3572
Published online Aug 26, 2020. doi: 10.12998/wjcc.v8.i16.3567
Recovery from a biliary stricture of a common bile duct ligature injury: A case report
Zhe Fan, Ji-Yong Pan, Ye-Wei Zhang
Zhe Fan, Ji-Yong Pan, Department of General Surgery, the Third People’s Hospital of Dalian, Dalian Medical University, Dalian 116033, Liaoning Province, China
Zhe Fan, Ye-Wei Zhang, Department of General Surgery, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, Jiangsu Province, China
Author contributions: Pan J-Y was the patient’s surgeon; Fan Z reviewed the literature and drafted the manuscript; Zhang Y-W analyzed and interpreted the imaging findings; Zhang Y-W revised the manuscript for important intellectual content; All authors issued final approval for the version to be submitted.
Supported by National Natural Science Foundation of China, No. 81701965.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and the accompanying images.
Conflict-of-interest statement: There are no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ye-Wei Zhang, MD, PhD, Director, Doctor, Department of General Surgery, Zhongda Hospital, Medical School, Southeast University, No. 87 Dingjiaqiao, Nanjing 210009, Jiangsu Province, China. zhangyewei@seu.edu.cn
Received: April 13, 2020
Peer-review started: April 13, 2020
First decision: April 24, 2020
Revised: July 4, 2020
Accepted: July 23, 2020
Article in press: July 23, 2020
Published online: August 26, 2020
Abstract
BACKGROUND

Cholecystectomy is a common elective procedure for cholecystic diseases, including cholecystitis and cholelithiasis. Common bile duct injury is a major complication in both open and laparoscopic cholecystectomy (LC). The number of cholecystectomies performed has increased due to popularization and application of the laparoscopic technique, which has led to an increase in the number of bile duct injuries.

CASE SUMMARY

A 65-year-old man presented to the General Surgery Department with a complaint of repeated right upper quadrant pain for 2 years that had worsened over the previous day. The patient had a history of gallstones and hypertension. A LC was performed; it was found that a biliary stricture of 53 h duration was caused by a ligature injury of the common bile duct during the LC. Another laparoscopic exploration was performed, and the stricture was released.

CONCLUSION

LC is a common surgical procedure, but if a complication occurs, it is important for the surgeon to consider another exploratory surgery.

Keywords: Biliary stricture, Common bile duct injury, Laparoscopic, Cholecystectomy, Case report, Recovery

Core tip: Cholecystectomy is a common elective procedure for cholecystic disease, and common bile duct injury is a major complication. We report a case of a biliary stricture caused by a ligation injury of the common bile duct during a laparoscopic cholecystectomy. The patient had a biliary ligation for 53 h with an aggravated procedure 24 d after the ligation injury. The process of patient recovery is presented, which may be helpful to other surgeons who have encountered duct injuries.