Multidisciplinary management of a rare case of obstructive jaundice

Abstract Text 47-year-old man affected by diaphragmatic laceration due to road trauma in 2007, after 15 years developed an episode of cholestasis and jaundice. Oral steroid therapy was started without any clinical benefit. After a multidisciplinary evaluation, it was decided to perform surgery to repair the diaphragmatic hernia. Unfortunately, patient underwent ERCP due to the persistence of jaundice. Cholangiography showed an angled VBP at the hilar confluence causing stricture of the common hepatic duct. Sphincterotomy was performed with placement of both a biliary and pancreatic plastic stent. 20 days later, the chest drainage had biliary contents. He performed percutaneous cholangiography showing extravasation of contrast dye from CBD, so an external-internal biliary catheter was placed and subsequently replaced by an internal plastic stent with an endoscopic-radiologist rendez-vous.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/b528c5f1-c936-4f96-b865-3142f2c6d3c6/Uploads/13821_Post-traumatic_obstructive%20jaundice.mp4

 

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Conflicts of interest

Authors do not have any conflict of interest to disclose.

Publikationsverlauf

Artikel online veröffentlicht:
15. April 2024