TY - JOUR
T1 - Biliary injury after laparoscopic cholecystectomy in a patient with right liver agenesis
T2 - Case report and review of the literature
AU - Fields, Ryan C.
AU - Heiken, Jay P.
AU - Strasberg, Steven M.
PY - 2008/9
Y1 - 2008/9
N2 - An 87-year-old man underwent attempted laparoscopic cholecystectomy. The procedure was characterized by significant inflammation and bleeding requiring conversion to an open procedure. Postoperatively, the patient had continued bile drainage from his surgical drain. He was referred to our institution and found to have complete transection of his common bile duct. Incidentally, he was noted on imaging studies to have absence of his right liver with associated left liver hypertrophy. This was characterized by complete absence of the right portal vein and right bile duct. Review of his preoperative imaging confirmed this finding of right liver agenesis and very unusual hepatic vein anatomy. This represents the first reported case of bile duct injury in the setting of right liver agenesis. We review the details of the case and the natural history of agenesis of a hemiliver.
AB - An 87-year-old man underwent attempted laparoscopic cholecystectomy. The procedure was characterized by significant inflammation and bleeding requiring conversion to an open procedure. Postoperatively, the patient had continued bile drainage from his surgical drain. He was referred to our institution and found to have complete transection of his common bile duct. Incidentally, he was noted on imaging studies to have absence of his right liver with associated left liver hypertrophy. This was characterized by complete absence of the right portal vein and right bile duct. Review of his preoperative imaging confirmed this finding of right liver agenesis and very unusual hepatic vein anatomy. This represents the first reported case of bile duct injury in the setting of right liver agenesis. We review the details of the case and the natural history of agenesis of a hemiliver.
KW - Biliary injury
KW - Laparoscopic cholecystectomy
KW - Liver agenesis
UR - http://www.scopus.com/inward/record.url?scp=49749142995&partnerID=8YFLogxK
U2 - 10.1007/s11605-008-0576-x
DO - 10.1007/s11605-008-0576-x
M3 - Article
C2 - 18622659
AN - SCOPUS:49749142995
SN - 1091-255X
VL - 12
SP - 1577
EP - 1581
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
IS - 9
ER -